بعد التسليم، أي مريض تقيّمه الممرضة أولاً؟

After handover, which client should the nurse assess first?

1. A pneumonia client with a temperature of 38.4 °C awaiting a first antibiotic dose from pharmacy
2. A client 2 hours post-thyroidectomy with a new hoarse voice and noisy breathing
3. A diabetic client with pre-lunch glucose of 210 mg/dL asking about his next insulin dose
4. A COPD client with SpO2 89% on 2 L/min, sitting up in bed reading comfortably

Answer: B) A client 2 hours post-thyroidectomy with a new hoarse voice and noisy breathing. New hoarseness with stridor after thyroidectomy may mean a haematoma compressing the airway or laryngeal nerve injury, a direct airway threat. SpO2 89% is acceptable and expected in COPD, and fever and hyperglycaemia matter but are not immediately life-threatening.