Nursing fundamentals · practice question

A 76-year-old client in a long-term care facility is being evaluated for nursing care related to elimination. Assessment data include the client reports no sleep and increasing agitation overnight. Before teaching, what should the nurse assess first?

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Delegate all teaching without RN evaluation of learning needs.Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.Assume understanding without checking literacy or readiness.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 76-year-old client in a long-term care facility is being evaluated for nursing care related to elimination. Assessment data include the client reports no sleep and increasing agitation overnight. Before teaching, what should the nurse assess first?

Correct answer

Why

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