Health assessment · practice question
A 74-year-old client on a medical-surgical unit is being evaluated for nursing care related to general survey. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Before teaching, what should the nurse assess first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment
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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