A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

Choice A reason: Assisting a client with a bath is considered a non-urgent task. While hygiene is important for patient comfort and prevention of infection, it does not pose an immediate threat to the client’s safety or health status. This task can be delegated or postponed until more urgent needs are addressed. Choice B reason: Requesting a referral for home health services is an administrative and planning task. It is important for continuity of care, but it does not represent an acute or urgent clinical need. This can be addressed later in the shift once immediate safety concerns are stabilized. Choice C reason: A client asking about his PCA pump containing morphine is the priority because PCA (patient-controlled analgesia) involves opioid administration. Any uncertainty or confusion about the PCA pump could lead to improper use, overdose, or inadequate pain control. Opioid safety is a high priority due to risks of respiratory depression, sedation, and potential misuse. Clarifying PCA use ensures safe medication administration and prevents life-threatening complications. Choice D reason: A client who has Question s about a new prescription requires education, which is important for adherence and safety. However, this is not immediately life-threatening and can be addressed once urgent safety concerns are managed. Patient teaching is best done when the client is stable and the nurse has adequate time to provide thorough explanations.