Which client should the nurse assess first after receiving change-of-shift report?

The priority for the nurse in this scenario is to assess the client with emphysema who reports dyspnea. In nursing, the assessment is often driven by the ABCs (Airway, Breathing, Circulation) framework, which prioritizes the assessment and management of respiratory issues.

Clients with emphysema are already at risk for compromised respiratory function due to the nature of their chronic condition. Dyspnea, or difficulty breathing, can indicate worsening respiratory distress, which could lead to potentially life-threatening complications. Immediate assessment of the client's respiratory status—such as oxygen saturation levels, breath sounds, and effort of breathing—will help determine the severity of their condition and the necessary interventions.

In contrast, a client with controlled hypertension is stable and does not present an immediate risk, a client reporting a mild headache may not require urgent evaluation unless accompanied by other concerning symptoms, and a client scheduled for a procedure can usually wait for assessment as their situation is more predictable and planned. Therefore, prioritizing the client experiencing dyspnea aligns with the critical need for timely intervention in a potentially emergent situation.