Difficulty: Medium
Average Score: 73%
Simulated
The nurse just received the a.m. shift report. Which client should the nurse assess first?
Correct answer
B
Rationale
Chest pain in DVT (B) suggests pulmonary embolism, a life-threatening emergency. Hypertension (A) is urgent but less immediate, SpO2 98% (C) is normal, and diarrhea (D) is non-emergent.