Which assessment is a priority for a client with chest pain?

Performing an ECG immediately is a priority assessment for a client with chest pain because it helps in the rapid identification of any cardiac abnormalities or ischemic changes. The ECG provides crucial information regarding the electrical activity of the heart and can indicate underlying issues such as myocardial infarction or arrhythmias. Quick assessment through an ECG can guide further treatment decisions and interventions, which are vital in managing potential life-threatening conditions associated with chest pain.

Timely identification of cardiac problems can significantly affect patient outcomes, as it facilitates prompt intervention. While other actions like administering nitroglycerin, checking peripheral pulses, or interviewing the client about pain characteristics are important in comprehensive care, they are secondary to the immediate need for an ECG when chest pain is present. This prioritization is fundamental in emergency medicine and reflects best practice in acute cardiac care.