Health assessment · practice question

A 49-year-old client in the emergency department is being evaluated for head and neck assessment during hospitalization. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Before teaching, what should the nurse assess first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026health-assessment

Assume understanding without checking literacy or readiness.Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.Delegate all teaching without RN evaluation of learning needs.Begin a long lecture while the client is in acute distress.

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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A 49-year-old client in the emergency department is being evaluated for head and neck assessment during hospitalization. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Before teaching, what should the nurse assess first?

Correct answer

Why

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