Four patients have been assigned to you at the beginning of your shift. Which patient should you assess first?

1
A 58-year-old male with COPD with an oxygen saturation of 92% on 2 L/min of oxygen.
2
An 80-year-old female post hip replacement surgery complaining of pain at a 5 on the pain scale.
3
A 42-year-old female with appendicitis waiting for surgery, reporting nausea but no vomiting.
4
A 65-year-old male who is one day post-abdominal surgery, reporting sharp, sudden chest pain and difficulty breathing.

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