Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for focused reassessment 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.Begin a long lecture while the client is in acute distress.Delegate all teaching without RN evaluation of learning needs.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 74-year-old client on a medical-surgical unit is being evaluated for focused reassessment 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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