A nurse on a medical-surgical unit has just received the change-of-shift report and is organizing their workload for the day. Which of the following clients should the nurse assess first?
A client recovering from a stroke who needs assistance with ambulating to the restroom for the first time today.
A post-operative client who received pain medication 30 minutes ago and is resting comfortably in bed.
A client diagnosed with pneumonia who is awaiting their final dose of antibiotics, scheduled in three hours.
A client who was admitted during the night for diabetic ketoacidosis and is reporting nausea and extreme fatigue.
The correct answer is based on the acuity and time sensitivity of each client's needs. The nurse should assess the client who is at immediate risk for deterioration or who has a critical need (e.g., pain management or unstable condition) before addressing the needs of stable clients. Clients who can safely wait should be attended to later in order of priority. Recognizing which situations demand prompt attention is key to effective time management and safe care delivery.
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