Pathophysiology · practice question
A 62-year-old client on a postoperative unit is being evaluated for nursing care related to acid-base imbalance. Assessment data include the client reports worst headache of life with neck stiffness. Before teaching, what should the nurse assess first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology
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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