A 16-year-old girl is admitted to the hospital with toxic shock syndrome (TSS). Which action by the nurse should take priority?
a. Teach the girl risk factors for TSS.
b. Teach the girl's mother risk factors for TSS.
c. Educate the girl on signs and symptoms of TSS.
d. Determine what the girl understands about risk factors for TSS.
ANS: D
At 16, the girl is at an age at which she needs to understand the risk factors, not her mother. Assessment of baseline knowledge should always take place before teaching risk factors or signs and symptoms.
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