A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds

A conscious adult client who has a dislocated right shoulder, respiratory rate of 18/min, and capillary refill of <2 seconds

A conscious adult client who reports shortness of breath, has a respiratory rate of 24/min, and capillary refill of <2 seconds

An unconscious adult client who has no respirations, capillary refill is 2 seconds, and paramedics have already tried to reposition airway without results