Nursing fundamentals · practice question
A 76-year-old client in a long-term care facility is being evaluated for nursing care related to sleep and rest. Assessment data include temperature 100.8°F (38.2°C) with rigors and chills. Before teaching, what should the nurse assess first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
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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