The nurse gets the hand-off report on four clients.Which client should the nurse assess first?

Question

Quizplus · Accepted Answer

This client has a falling systolic blood pressure,rising diastolic blood pressure,and narrowing pulse pressure,all of which may be indications of the progressive stage of shock.The nurse should assess this client first.The client with the unchanged oxygen saturation is stable at this point.Although the client with a change in pulse has a slower rate,it is not an indicator of shock since the pulse is still within the normal range; it may indicate the client's pain or anxiety has been relieved,or he or she is sleeping or relaxing.A urine output of 40 mL/hr is only slightly above the normal range,which is 30 mL/hr.

The Nurse Gets the Hand-Off Report on Four Clients