Which client admitted to the emergency department should the nurse see first?
Explanation & Rationale
Rationale: A. While this indicates hypertension, it is not immediately life-threatening unless accompanied by other symptoms such as chest pain, shortness of breath, or neurological changes. This client requires assessment and possible intervention but is not the highest priority. B. A “ripping” or tearing chest pain is highly suggestive of an aortic dissection, a life-threatening emergency. This condition can rapidly lead to aortic rupture, cardiac tamponade, or death. According to the ABC and Maslow priority frameworks, this client requires immediate assessment and intervention, making them the highest priority. C. This indicates gastrointestinal bleeding, which can be serious, especially in patients on anticoagulants, but the client is likely hemodynamically stable if vital signs are not provided. While urgent, it is not more immediately life-threatening than a suspected aortic dissection. D. This is oliguria and may indicate early renal compromise, but it is not an immediate threat to life compared to suspected aortic dissection. This client should be assessed promptly but after addressing the highest-risk patientTop of FormBottom of Form