Which client should the nurse prioritize to see first based on the change-of-shift report?

Prioritizing client care in a nursing setting requires assessing the urgency and severity of each client’s condition. In this scenario, the client with audible wheezing during respirations should be seen first due to the potential for respiratory distress, which can quickly become life-threatening. Wheezing indicates that the airways are narrowed or obstructed, often leading to increased difficulty in breathing and inadequate oxygenation.

Immediate intervention is crucial in respiratory issues, as compromised breathing can necessitate urgent medical attention and interventions such as bronchodilator administration or other therapies. In contrast, clients with stable vital signs, a fracture, or those scheduled for discharge are generally in less immediate need of assessment and intervention. While they require care, their situations do not represent the same level of acute risk as the client exhibiting wheezing.

Understanding these prioritization principles is essential for nurses to ensure the most critical needs are addressed first, maintaining patient safety and care effectiveness.