Nursing fundamentals · practice question
A 76-year-old client in a long-term care facility is being evaluated for nursing care related to mobility and positioning. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Before teaching, what should the nurse assess first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
Answer and explanation
Correct answer
A. 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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