The nurse receives report on 4 clients. Which client should the nurse see first?

Question

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Although it is not a STAT order, an extra dose of furosemide was prescribed for the client with congestive heart failure. The shortness of breath is most likely due to a change in fluid status, and this client is the priority. Furosemide works immediately and should be given urgently. (Option A) Even though this client has asthma exacerbation, steroids (methylprednisolone [Solu-Medrol]) do not show their effect immediately. These drugs control underlying inflammation but take several hours/days to take effect. Bronchodilators such as albuterol or ipratropium work immediately. (Option C) This client has intestinal obstruction and needs nasogastric tube placement. However, this is not a priority over a client with heart failure. (Option D) This client with a sternal wound infection needs a dressing change and an antibiotic. Although this localized infection is important, it is not the priority. Educational objective: A client who is experiencing symptoms that could compromise airway, breathing, or circulation should be seen first.

The Nurse Receives Report on 4 Clients