The practical nurse (PN) receives shift report for a group of clients. One had a liver biopsy yesterday, one has a history of falls and is attempting to get out of bed; one is calling the nurse every 10 minutes requesting pain medication; and one is angry because his roommate is disturbing his sleep. The PN should first assess the client who is exhibiting which behavior?

A. Expressing anger with his roommate: While the client’s frustration should be addressed to maintain comfort and therapeutic rapport, anger does not pose an immediate physical risk. This concern can safely be managed after attending to clients with higher safety priorities. B. Complaining of dried blood on gown: Dried blood may suggest mild oozing at a previous procedure site, but it is not an immediate emergency. The client should be assessed soon, but not before evaluating someone at risk of injury or active harm. C. Attempting to get out of bed: A client with a history of falls attempting to ambulate unassisted faces immediate danger of physical injury. Fall prevention takes priority because it represents an urgent safety issue that can lead to fractures, head trauma, or internal bleeding if not promptly addressed. D. Requesting pain medication: Pain management is important for client comfort and recovery, but it is a lower priority compared to preventing imminent physical harm. Once safety is ensured, pain control can be addressed appropriately.