Question

After receiving change-of-shift report on four patients admitted to a heart failure unit, which

patient should the nurse assess first?

a. A patient who reported dizziness after receiving the first dose of captopril
b. A patient who is cool and clammy, with new-onset confusion and restlessness
c. A patient who has crackles bilaterally in the lung bases and is receiving oxygen.
d. A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure of
100/62

Answer 1

The nurse should assess Patient B first, as their symptoms indicate a potentially serious condition such as heart failure.

Step-by-step explanation:

The nurse should assess Patient B first. Patient B is exhibiting symptoms that may suggest a serious condition, such as heart failure, including cool and clammy skin, new-onset confusion and restlessness. These symptoms could indicate inadequate blood flow to the organs and require immediate attention to prevent further deterioration.