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.
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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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Hernia repair surgery, like any surgical procedure, carries potential risks and complications, and it is not entirely risk-free.
Choice B reason:
While complications during hernia repair surgery are relatively infrequent, they are not extremely rare and can occur in certain cases.
Choice C reason:
This statement is correct. While hernia repair surgery is generally safe, there are potential risks and complications, such as infection, bleeding, or recurrence of the hernia. It is essential for the client to be aware of the potential risks and discuss any concerns with the healthcare provider.
Choice D reason:
Complications during hernia repair surgery are not common, and they should not be expected as a routine outcome. While some minor complications may occur, the overall goal is to minimize the risk of complications and provide safe and effective surgical care.
Correct Answer is C
Explanation
Choice A reason:
This statement is incorrect. Being physically active and engaging in regular exercise can actually reduce the risk of hernias by strengthening the abdominal muscles and connective tissue.
Choice B reason:
This statement is incorrect. Having a high BMI is a risk factor for developing hernias. Excess weight can increase intra-abdominal pressure and weaken the abdominal muscles, making hernia development more likely.
Choice C reason:
This statement is correct. Smoking and chronic coughing can contribute to the development of hernias by putting increased pressure on the abdominal muscles and weakening the tissue.
Choice D reason:
This statement is incorrect. Family history can play a role in hernia development, as genetics can influence the strength of the abdominal muscles and connective tissue.
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