During a shift change, which client should the nurse prioritize for assessment?

The client with a history of respiratory issues should be prioritized for assessment due to the potential for acute complications associated with respiratory conditions. Clients with respiratory issues may experience rapid changes in their condition, particularly during times of stress such as shift changes or post-operative recovery. Their history suggests that they may be more susceptible to respiratory distress, which can arise from factors such as fluid overload, complications from anesthesia, or even infection.

Timely assessment of this client is crucial, as any deterioration in respiratory function can lead to severe outcomes, including hypoxia or respiratory failure. This patient population requires vigilant monitoring and may need immediate interventions, such as bronchodilator therapy or supplemental oxygen, to prevent complications.

While the other clients present important concerns too, factors such as the need for pain management, infection control, and nausea can usually be addressed after ensuring the respiratory client is stable. Prioritizing assessments based on the potential for rapid deterioration is a fundamental aspect of nursing care, especially in a dynamic environment such as during shift changes.