Pathophysiology · practice question
A 62-year-old client on a postoperative unit is being evaluated for nursing care related to hypoxia and impaired gas exchange. Assessment data include temperature 102.2°F (39°C), heart rate 126/min, blood pressure 86/50 mm Hg, and confusion. Before teaching, what should the nurse assess first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology
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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