Ethics, legal nursing, delegation, prioritization · practice question
A 64-year-old client on a medical-surgical unit is being evaluated for a busy medical-surgical assignment. Assessment data include new chest pain rated 8/10 with diaphoresis. Before teaching, what should the nurse assess first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
C. 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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