The nurse has just received change-of-shift report for four clients. Based on this report, the nurse should assess which of the following clients first?
1. A 38-year-old who is 2 days postmastectomy due to breast cancer, having difficulty coping with the diagnosis.
2. A 52-year-old with pneumonia and chronic back pain who is requesting pain medication.
3. A 35-year-old admitted after motor vehicle accident whose urine output has totaled 30 mL over the last 2 hours.
4. An 84-year-old with resolving left-sided weakness who is slightly confused and has been awake most of the night.
Urine output should be at least 500 mL in 24 hours (20 mL/h); this client’s output has been just 15 mL/h for the past 2 hours requiring further assessment by the nurse. The nurse should first assess all clients and address physiological needs including pain control and safety measures; the nurse should then take time with the client having difficulty coping in order to listen and further determine her needs.
CN: Reduction of risk potential; CL: Synthesize
小编寄语：Sometimes, we have to shut up, put down our pride and admit that we are wrong. It's not about giving up, it's about growing.有时候，我们必须闭上嘴，放下骄傲，承认是自己错了。这不是认输，而是成长。