Which client symptoms require immediate assessment after a nurse receives a hand-off report?

The symptoms presented by the client with postoperative shortness of breath and chest pain are critical indicators that necessitate immediate assessment. Shortness of breath post-surgery can suggest several serious complications, including but not limited to pulmonary embolism, pneumonia, or atelectasis. Chest pain, in conjunction with difficulty breathing, raises concern for cardiovascular issues, such as myocardial infarction or other cardiac events. These symptoms are potentially life-threatening and require prompt evaluation to ensure the client’s safety and address any urgent medical needs.

In comparison, while the other options involve important symptoms, they do not immediately pose the same level of risk. The client with fever and cough may be experiencing an infection, which is significant but can often wait for assessment or intervention. The client recently transferred from the Post-Anesthesia Care Unit (PACU) may require monitoring but does not indicate an acute crisis unless something else is provided in the report. Lastly, flank pain may warrant attention, especially if related to renal issues, but it is not as urgent as breathing difficulties and chest pain.