A client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?

Assessing the client's blood pressure and heart rate.

Obtaining a detailed history of the client's diet and eating habits.

Evaluating the client's range of motion and joint flexibility.

Monitoring the client's oxygen saturation and respiratory rate.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.

Choice B reason:

Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

Choice C reason:

Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.

Choice D reason:

Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

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Correct Answer is C

Explanation

Choice A reason:

This statement is not accurate. While anesthesia is administered during surgery to prevent pain, clients typically experience postoperative pain as the anesthesia wears off.

Choice B reason:

Pain after hernia surgery can vary from person to person, and some clients may require pain medications to manage postoperative discomfort effectively.

Choice C reason:

This statement is correct. Clients undergoing hernia repair surgery will typically be prescribed pain medications to manage postoperative discomfort.

Choice D reason:

Pain after hernia surgery is normal but usually improves over time. The duration of postoperative pain varies, and the client should follow the healthcare provider's guidance on pain management.

A. "It is normal to have some redness and swelling around the incision site, but you should seek medical attention if you develop a fever or drainage from the wound." B. "Wound infection is common after hernia surgery, and you should seek medical attention if you experience any pain or discomfort at the incision site." C. "You should expect to have drainage from the wound for a few days after the surgery. Seek medical attention only if the drainage becomes foul-smelling." D. "Wound infection is unlikely after hernia surgery, but you should seek medical attention if you notice any bruising or discoloration around the incision site."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. While some redness and swelling are normal after surgery, a fever or drainage from the wound may indicate an infection and require medical attention.

Choice B reason:

Wound infection is not common after hernia surgery. It is essential to provide accurate information to the client to avoid unnecessary concerns.

Choice C reason:

While some drainage is normal after surgery, foul-smelling drainage may indicate an infection and require medical attention.

Choice D reason:

Bruising or discoloration around the incision site may be expected after surgery and does not necessarily indicate an infection.

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A client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who underwent hernia repair surgery. The client asks about the signs of wound infection and when to seek medical attention. Which of the following responses by the nurse is accurate?

Correct Answer is A

Explanation

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A nurse is providing education to a client about the risk factors for inguinal hernias. Which of the following factors should the nurse include as a significant risk factor for developing this type of hernia?

A client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?

A nurse is caring for a client with a suspected incisional hernia. Which of the following factors should the nurse consider as a potential cause of this type of hernia?