Upon discovering a client with slurred speech and right-sided paralysis, what action should the nurse take FIRST?

The appropriate first action in the scenario of a client exhibiting slurred speech and right-sided paralysis is to assess the respiratory status. When a patient presents with signs of potential neurological impairment, such as slurred speech and paralysis, it's crucial to ensure that they can maintain an adequate airway and breathing. Neurological deficits can lead to compromised respiratory function, which may result in hypoxia or other complications if not addressed promptly.

By prioritizing the assessment of respiratory status, the nurse is ensuring that the most critical life-sustaining function is intact before moving on to other assessments or interventions. If the patient's breathing is compromised, immediate actions can be taken, such as positioning the patient, providing oxygen, or preparing for potential airway management.

Following respiratory assessment, the nurse can then assess the level of consciousness, perform a complete neurological evaluation, or consult with a physician as needed, but the immediate concern should be the patient's ability to breathe effectively.