When receiving report on clients, which client should the nurse assess first?

When receiving report on clients, which client should the nurse assess first?

• A. A client who has a stable blood pressure.
• B. A client with a recent fracture.
• C. A client experiencing decreased level of consciousness and vomiting.
• D. A client in recovery from surgery.

Answer: (C)

The rationale for prioritizing the assessment of the client experiencing decreased level of consciousness and vomiting lies in the critical nature of their condition. A decreased level of consciousness indicates a potential compromise in neurological function, which could be life-threatening and requires immediate attention. Vomiting can further exacerbate this condition by increasing the risk of aspiration and can lead to dehydration or electrolyte imbalances. In contrast, while a client with a stable blood pressure, one with a recent fracture, or a client in recovery from surgery may require assessments, they do not present with the same immediate risk to their safety and health as the client with altered consciousness. Thus, swift evaluation and intervention for the client with decreased consciousness and vomiting is essential to prevent further deterioration and to address any underlying causes.

The rationale for prioritizing the assessment of the client experiencing decreased level of consciousness and vomiting lies in the critical nature of their condition. A decreased level of consciousness indicates a potential compromise in neurological function, which could be life-threatening and requires immediate attention. Vomiting can further exacerbate this condition by increasing the risk of aspiration and can lead to dehydration or electrolyte imbalances.

In contrast, while a client with a stable blood pressure, one with a recent fracture, or a client in recovery from surgery may require assessments, they do not present with the same immediate risk to their safety and health as the client with altered consciousness. Thus, swift evaluation and intervention for the client with decreased consciousness and vomiting is essential to prevent further deterioration and to address any underlying causes.