Adult health / medical-surgical nursing · practice question
A 62-year-old client on a postoperative unit is being evaluated for pneumonia with increased work of breathing. Assessment data include the client has crackles bilaterally, SpO2 88% on room air, and reports increased shortness of breath. Before teaching, what should the nurse assess first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
B. Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.
Why
Teaching is effective only after safety and learning readiness are confirmed; the RN cannot delegate assessment of learning needs on unstable clients.
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