Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for respiratory assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Before teaching, what should the nurse assess first?

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

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

Answer and explanation

Correct answer

D. 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 66-year-old client in an outpatient clinic is being evaluated for respiratory assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Before teaching, what should the nurse assess first?

Correct answer

Why

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