A nurse in an emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A client who has a complete femur fracture and reports a pain level of 7 on a scale from 0 to 10

A client who has left shoulder pain and S-T elevation on a 12-lead ECG

A client who has Clostridioides difficile and a temperature of 38.60 C (101.50 F)

A client who has heart failure and 2+ pitting edema in the lower extremities