A client arrives only speaking Cambodian. The daughter is interpreting for her. What is the priority responsibility of the nurse?

The temperature and respiratory rate in this set are within normal limits. However, the low pulse rate and the high blood pressure are significant findings that require further evaluation. A pulse rate of 54 bpm may indicate a slow heart rate, which can lead to decreased cardiac output and other related symptoms.

A blood pressure of 196/114 mmHg is significantly higher than normal and may indicate hypertension, which can lead to serious health complications if left untreated.

The client who should be seen by the nurse first is the elderly man with a fractured hip. This is because a fractured hip is a medical emergency that requires immediate attention to prevent complications, such as blood clots, pressure ulcers, and pneumonia.

The nurse should prioritize this client's care and ensure that they receive prompt medical attention, including pain management, immobilization of the affected hip, and preparation for surgery if necessary. Although the other clients may also require nursing care, they do not have urgent or emergent medical conditions that require immediate attention.

The client with acute diarrhea may require assessment and treatment for dehydration or infection, but this can be managed within a reasonable timeframe.

The client who is anxious may require emotional support and counseling, but this is not an emergency.

The woman who feels isolated may benefit from social support and community resources, but this can be addressed at a later time.