The nurse is working on the step-down unit and receives the shift-to-shift report on four clients. Based on the report information, which client would be the highest priority to assess first?

A 32-year-old male admitted yesterday with a femur fracture in traction.

A 38-year-old female with a grade 1 liver laceration admitted 2 days ago.

A 41-year-old male with 4 rib fractures, pneumothorax, and chest tube admitted last night.

A 55-year-old female admitted 6 days ago with a chest contusion from a fall scheduled for discharge today.