The nurse receives change-of-shift report on the following four clients in a burn unit. Which client should the nurse assess first?

A client with smoke inhalation who has wheezes and altered mental status

A client with 40% total body surface area (TBSA) burns who is receiving IV fluids at 250 mL/hour

A client with full thickness leg burns who has a dressing change scheduled

A client with abdominal burns who is complaining of level 8 (0 to 10 scale) pain