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Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to scope of practice. Assessment data include telephone order received for a high-risk IV medication. Before teaching, what should the nurse assess first?

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Choose one answer
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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