Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for weight-based pediatric medication. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Before teaching, what should the nurse assess first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. 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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