A nurse in an emergency department is receiving report for four clients. Which of the following clients should the nurse see first?
Explanation & Rationale
A. A client who reports left arm pain following a fall: While the client might have a fracture or soft tissue injury, it is not immediately life-threatening. B. A client who has hypertension and reports a severe headache: A severe headache in a client with hypertension can indicate hypertensive crisis or encephalopathy, which can lead to cerebral hemorrhage, stroke, or organ damage. This client requires immediate assessment and intervention to prevent life-threatening complications. C. A client who has heart failure and received a diuretic 30 min ago: This client should be monitored, but no acute complication is indicated at present. D. A client who reports frequent and painful urination: These are symptoms of a urinary tract infection, which is uncomfortable but not an emergency compared to the risk of cerebral complications in hypertensive crisis.