The nurse reviews patients on the medical-surgical unit. Which patient should the nurse see first?

1
A 30-year-old patient complaining of 7/10 pain in the abdomen that radiates periodically to their shoulder and is nauseas with poor skin turgor.
2
A 70-year-old patient 3 days post-op after an open femur fracture with a temperature of 100 degrees F (38 C) and copious green sputum production.
3
A 50-year-old patient with muffled heart sounds, hypotension, and jugular vein distention.
4
A 40-year-old asthmatic with bilateral wheezes breathing at a rate of 20 breathes per minute with an SpO2 of 92%.

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