# Place the nurse's actions in the correct order to prepare a postpartum client with limited English proficiency for safe discharge. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=568360&lang=en > language: en > subject: Health Promotion/Disease Prevention > category: HPM ## Question Place the nurse's actions in the correct order to prepare a postpartum client with limited English proficiency for safe discharge. Provide education on urgent maternal warning signs using translated materials. Review the client's specific risk factors, including the new headache and history of gestational hypertension. Verify understanding using teach-back and confirm follow-up appointments. Arrange for a qualified Vietnamese interpreter and assess the client's readiness to learn. Collaborate with the client and partner to develop a personalized action plan for seeking help. ## Explanation The nurse must first address the client's anxiety and language needs by arranging a qualified interpreter and assessing readiness to learn. Next, the nurse should provide education on urgent maternal warning signs using culturally appropriate materials. Then, the nurse should review the client's specific risk factors, including the new headache in the context of gestational hypertension. After that, the nurse should collaborate with the client and partner to develop a personalized action plan. Finally, the nurse should verify understanding using teach-back and confirm follow-up arrangements. ## In-depth explanation Quick answer The correct order is: arrange interpreter and assess readiness; provide warning sign education; review specific risk factors; develop action plan; verify understanding and confirm follow-up. Why this is correct The client's anxiety, language barrier, and new headache require a sequence that first establishes effective communication and readiness, then delivers information, personalizes it to the client's risk profile, plans actions, and confirms comprehension before discharge. Clinical picture In postpartum care, especially with hypertensive disorders, timely recognition of warning signs is critical. A new headache may indicate preeclampsia. Effective education requires overcoming language barriers and addressing anxiety before teaching can be effective. Memory hook Use the mnemonic 'Assess, Teach, Personalize, Plan, Verify' for patient education sequences. NCLEX decision rule Prioritize communication and readiness before teaching; always verify understanding with teach-back before discharge. Why the alternatives are wrong Teaching before assessing readiness may lead to poor comprehension. Developing a plan before reviewing specific risks may miss critical personalized information. Verifying understanding before teaching is ineffective. Sources 1NCSBN 2026 NCLEX-RN Test Plan 2CDC Hear Her: Urgent Maternal Warning Signs 3NCSBN 2026 NCLEX-RN Test Plan ## Clinical scenario A 32-year-old client who gave birth 36 hours ago is preparing for discharge. The client speaks primarily Vietnamese and has a history of gestational hypertension. The client's partner is present and speaks some English. The nurse notes the client appears anxious when discussing discharge instructions and has not yet demonstrated understanding of warning signs. The client's blood pressure is 138/88 mm Hg, heart rate 88/min, respiratory rate 16/min, temperature 37.0°C (98.6°F), and oxygen saturation 98% on room air. The client reports a mild headache that began 2 hours ago. ## Key concepts - **Teach-back** — A method to confirm patient understanding by asking the patient to explain in their own words what they learned. - **Gestational hypertension** — High blood pressure that develops after 20 weeks of pregnancy without proteinuria; can progress to preeclampsia. - **Urgent maternal warning signs** — Symptoms such as severe headache, vision changes, chest pain, or heavy bleeding that require immediate medical attention postpartum. ## Related questions - [A 6-month-old infant is brought to the well-child clinic for routine vaccinations. The par…](https://mymerci.kr/pages/nclex_q.php?qn_id=363351&lang=en) - [A 70-year-old adult with COPD has no prior RSV vaccine and an unknown pneumococcal conjuga…](https://mymerci.kr/pages/nclex_q.php?qn_id=393386&lang=en) - [A client who may become pregnant asks how to reduce the risk for neural tube defects. 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