The nurse has just received the report at the beginning of the shift. Which of the following clients would the nurse see first based upon the report?
1. Newly admitted client complaining of substernal chest pain. Client has recently had a father die from heart disease.
2. Client complaining of hyperventilation after a family member leaves the room following an argument. Client has a history of anxiety-related disorders and had a similar episode on the prior shift.
3. Client with occasional chest pain who has recently been diagnosed with gallbladder disease. Client requires frequent pain medication.
4. Client concerned with multiple cardiac risk factors (smoking, obesity, family history and high cholesterol) develops sudden onset of nausea and vomiting.
Newly admitted client complaining of substernal chest pain. Client has recently had a father die from heart disease.
Rationale: The top priority for this nurse is the new admit who has developed substernal chest pain with a family history of cardiac disease. The nurse would want to assess this client and initiate any interventions that are appropriate. The client with hyperventilation and a history of anxiety could be having an anxiety attack, but still needs to be assessed as soon as possible. The client with occasional chest pain and gallbladder disease may have chest pain that is not cardiac related. The client with multiple risk factors and sudden onset of nausea and vomiting, but no pain, would need evaluation, but after the new admission is evaluated.
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