Which client has the highest priority needs?

The client with an irregular apical pulse of 120 beats per minute has the highest priority needs due to the potential implications for cardiac function and overall health. An irregular pulse, particularly at a rate significantly elevated above the normal resting heart rate, can indicate various underlying issues such as arrhythmias, heart failure, or other significant cardiac conditions. It necessitates immediate assessment and possibly intervention to prevent complications, making it a critical concern in the context of patient care.

Monitoring heart rate and rhythm is essential, as an irregular pulse can lead to ineffective pumping of the heart, reduced cardiac output, and potentially serious complications such as stroke or decreased tissue perfusion. Therefore, prioritizing this client allows for timely intervention and monitoring, which is crucial for maintaining cardiac stability and ensuring overall patient safety.