Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for dehydration from vomiting and diarrhea. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. 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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