Final answer:
A nurse recording a client's vision as 20/40 on a Snellen chart determines that the client has worse visual acuity than normal, requiring them to be closer to see what can be seen at a greater distance by someone with normal vision.
Step-by-step explanation:
When using a Snellen alphabet chart, if a nurse records the client's vision as 20/40, it indicates that the client can see at 20 feet what a person with normal vision can see at 40 feet. This means that the client needs to be closer to the chart to see what a person with normal vision can see at a greater distance. It does not mean the client has 40% vision impairment compared to normal vision, nor does it mean the client's vision is better than normal. In fact, 20/20 is considered normal visual acuity. So in this case, the client's visual acuity is worse than the normal range.