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 A

Explanation

A. A limping gait can be a sign of pain or discomfort while walking. By asking about pain while bearing weight, the nurse can get a better understanding of the underlying cause of the limp.
B. A limping gait is not typically associated with changes in level of consciousness. This assessment is not relevant in this situation.

C. While a spinal deformity can cause a limping gait, it is not the most likely cause in this case. The nurse should first assess for pain while bearing weight to get a better understanding of the underlying issue.
D. Orthostatic blood pressure is a measure of blood pressure changes when a person stands up. It is not typically associated with a limping gait and is not relevant in this situation.

A. Urine dipstick test. B. Rapid strep test. C. Nitazine pH strip. D. Fingerstick glucose.

Correct Answer is A

Explanation

A. A urine dipstick test is a preliminary screening tool that can quickly provide information about the presence of glucose, protein, nitrites, and leukocytes in the urine. In the context of uncontrolled diabetes with symptoms of painful urination, this test is useful for identifying signs of a urinary tract infection (UTI), which is a common complication in diabetic patients.
B. A rapid strep test is used to diagnose streptococcal infections, particularly strep throat. It is not relevant to the symptoms of frequent and painful urination and does not help in assessing diabetic complications or urinary issues.

C. Nitrazine pH strips are primarily used to assess amniotic fluid in pregnant women to determine if labor has started. They are not used for diagnosing urinary tract infections or evaluating symptoms related to diabetes.
D. A fingerstick glucose test measures blood glucose levels and is useful for assessing the client's current glycemic control. While monitoring blood glucose levels is important for managing diabetes, it does not directly address the issue of painful urination or the presence of a urinary tract infection.

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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

During the admission assessment, the nurse observes that a client has a limping gait. Which assessment should the nurse complete next?

Correct Answer is A

Explanation

The nurse is completing an assessment for a client with uncontrolled diabetes mellitus (DM) who came to the clinic reporting frequent, painful urination. Which screening test should the nurse perform first?

Correct Answer is A

Explanation

The nurse examines a client's abdomen. Which finding indicates an abnormal response when palpating the spleen?

Which assessment technique should the nurse use to confirm the presence of papilledema in a client with a rapidly decreasing level of consciousness?

While performing a health history the nurse asks the client, "You don't use recreational drugs, do you?" This approach is most likely to elicit which response from the client?

When assessing a client's skin, which finding should the nurse report to the healthcare provider?

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The nurse is examining the abdomen of an older male client who expresses suprapubic tenderness on palpation. The client reports that it sometimes feels like there is still pressure in that area after urination. Which additional finding should the nurse expect with continued interview of the client?