Difficulty: Medium
Average Score: 66%
Simulated
The client is admitted with an ACS. Which should be the nurseÔÇÖs priority assessment?
Correct answer
A
Rationale
The nurseÔÇÖs priority assessment in ACS is the clientÔÇÖs pain; pain indicates that the heart is not receiving adequate oxygen and blood flow (perfusion). BP, HR, and RR are secondary as they stem from the lack of perfusion.