Posted: July 16th, 2017

The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?

The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?

1. The 58-year-old client who was admitted 2 days ago with heart failure, BP of 126/76, and a respiratory rate of 21 breaths a minute.
2. The 88-year-old client with end-stage right-sided heart failure, BP of 78/50, and a DNR order.
3. The 62-year-old client who was admitted one day ago with thrombophlebitis and receiving IV heparin.
4. A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV diltiazem (Cardizem).