Prioritizing Nursing Assessments of the Body Systems

According to the assessment of the patient with an acute exacerbation of emphysema, what three-body system nursing assessments should be prioritized?

Mr. Coates was admitted to the medical ward yesterday with an acute exacerbation of Emphysema. He was diagnosed with Emphysema 6 years ago and has been a cigarette smoker for over 40 years. He recently had a chest infection and has been taking oral antibiotics. The antibiotics have not been effective, so Tom has presented to ED after a referral from his GP for IV Antibiotic treatment for an acute exacerbation of his Emphysema. What should three-body system nursing assessments be prioritized? Resp, CVS, Skin, or MSK? Provide rationale as to why this system requires focused assessment.