Which client should a nurse assess first during change of shift report?

Assessing the client who is postoperative with a respiratory rate of 10/min takes precedence during a change of shift report due to the critical risk associated with low respiratory rates, especially after surgery. A respiratory rate of 10/min is considered hypoventilation and indicates inadequate respiratory function, which can lead to complications such as hypoxia or respiratory failure.

In the context of postoperative care, low respiratory rates may result from several factors, including the effects of anesthesia, pain medications (especially opioids), and potential complications like atelectasis or other pulmonary issues. It is essential for the nurse to assess this client first to identify the cause of the low respiratory rate and intervene promptly to ensure the client’s safety and stability.

The other situations, while important, present less immediate danger. A client with a respiratory rate of 20/min is within normal limits, a client experiencing anxiety may need support, and a client with controlled pain levels is stable and does not present an urgent concern. Thus, prioritizing the assessment of the postoperative client with a respiratory rate of 10/min reflects a focus on the most critical clinical needs.