The Nurse Receives Reports on Four Patients on a Medical-Surgical

The nurse receives reports on four patients on a medical-surgical unit. Which patient will the nurse attend to first?

A) Gait unsteady, uses walker, needs two-person assist with ambulation
B) Abdominal wound with foul-smelling drainage, incision margins are red, heart rate 100 beats/min
C) Blood pressure 90/50 mm Hg, heart rate 40 beats/min, patient rates chest pain at 8 on a 0-to-10 pain scale
D) Verbalizes history of migraine headaches, eyes closed during assessment interview