After receiving the assignment for the shift, the nurse plans to assess which client first?
1. The client with mild pain
2. The client who needs help with ambulation
3. The client experiencing dyspnea
4. The client who needs assistance with a bath
3. The client experiencing dyspnea
Rationale:
The nurse begins by assessing the client who is at the greatest risk, who in this case is the client having trouble breathing. The risk for the client with mild pain is not as severe as the client with dyspnea. The nurse can delegate the ambulation of a client to a nursing assistive person. The nurse can also delegate assisting a client who needs help with a bath.
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