A 69 years old woman has a history of heart failure. She is admitted to the emergency department with heart failure complicated by pulmonary edema. On admission of this client, which of the following should be assessed first?
- Airway, Breathing and Circulation (e.g Blood Pressure, Oxygenation)
- Skin Integrity
- Serum Electrolyte
- Hourly Urine Output
Explanation
Pulmonary edema causes fluid in the lungs, leading to impaired breathing and low oxygen levels.
In emergencies, assessment follows the ABC principle (Airway, Breathing, Circulation).
Airway and breathing must be ensured first to prevent hypoxia and respiratory failure.
Circulation (blood pressure, heart rate) is critical in a patient with heart failure.
Skin integrity, electrolytes, and urine output are important, but they are secondary priorities after stabilizing ABCs.
Last updated question 28 feb 2026
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