The patient presents to the emergency department (ED) complaining of chest pain, fatigue, and dyspnea. What is the nurse's priority assessment?
1. Medications
2. Airway and oxygen status
3. Activity tolerance
4. Chest pain
2
Rationale 1: The patient's medications will provide insight into past medical history but is not the priority assessment.
Rationale 2: The priority is to assess the patient's airway and oxygen status, with the goal of maintaining an open airway and adequate oxygen levels.
Rationale 3: Assessment of activity tolerance will provide useful data, but this is not the priority assessment.
Rationale 4: Assessing the onset, location, duration, and description of the pain is the nurse's second priority.
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