A client who recently underwent a routine surgical procedure made a dinic appointment. To elicit the most information, which question is best for the nurse to ask this client?

"What brought you to the clinic?"

"Are you having any pain?"

"What type of surgery did you have?"

"When did your surgery take place?"

Answer and Explanation

The Correct Answer is A

A.   This open-ended question allows the client to describe the reason for their visit in their own words, which can provide a broad range of information about their current concerns or symptoms. It encourages the client to share specific issues or problems they are experiencing since the surgery, which could include pain, complications, or other concerns.
B.   While this question is important for assessing one aspect of the client’s postoperative condition, it is somewhat narrow. It focuses specifically on pain, which is only one possible postoperative issue. This question does not capture other potential concerns such as functional problems, wound healing, or systemic symptoms.
C.   Knowing the type of surgery is important for understanding the client’s medical background and specific postoperative considerations. However, this question may not provide immediate information about the client’s current condition or why they are seeking follow-up care.
D.   This question helps establish a timeline and can be useful for understanding the postoperative phase and assessing healing progress. However, it does not directly address the client's current symptoms or concerns. Knowing the timing of the surgery alone does not provide comprehensive information about the client's present condition or reasons for the visit.

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Correct Answer is D

Explanation

A. Varicosities, or varicose veins, are dilated veins that appear on the skin and are often associated with venous insufficiency. While they can be symptomatic and require management, they typically do not constitute an immediate medical emergency. Varicosities are generally managed with lifestyle changes, compression therapy, or medical procedures, but they are not usually life-threatening.
B. Lack of hair growth on the lower legs can indicate poor circulation, commonly seen in conditions like peripheral arterial disease (PAD). While it is a concerning finding and suggests potential arterial insufficiency, it is not usually an immediate emergency.
C. A Stage 2 pressure injury is characterized by partial-thickness loss of dermis, presenting as a shallow, open ulcer with a pink wound bed. While it requires attention to prevent progression and manage the wound, it is not an immediate emergency compared to other findings that suggest acute complications.

D. Right calf swelling and tenderness are critical findings that could indicate a deep vein thrombosis (DVT), which is a serious condition where a blood clot forms in a deep vein, usually in the leg. DVT can lead to life-threatening complications such as pulmonary embolism if the clot dislodges and travels to the lungs.

Correct Answer is ["20"]

Explanation

The standard distance for a visual acuity test using the Snellen chart is 20 feet. This distance allows for an accurate assessment of how well a person can see the details of the letters on the chart, which is a common method used by eye doctors to measure visual acuity.

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A client who recently underwent a routine surgical procedure made a dinic appointment. To elicit the most information, which question is best for the nurse to ask this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a client's lower extremities, which finding requires immediate intervention by the nurse?

Correct Answer is D

Explanation

The nurse is assessing the visual acuity of a client who reports changes in vision. How many feet away from the Snellen chart should the client stand? (Enter a whole number only.)

Correct Answer is ["20"]

Explanation

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