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 B

Explanation

Choice A reason:

While hernias can occur in infants and young children, they are not more common in this age group due to weak abdominal muscles. Inguinal hernias are more common in infants, but other types of hernias may have different age distributions.

Choice B reason:

This statement is correct. Hernias are primarily seen in older adults and the elderly due to age-related changes in connective tissues, such as a decrease in collagen and elastin fibers.

Choice C reason:

This statement is incorrect. Age is a significant risk factor for hernias, and they are more common in older adults.

Choice D reason:

Hernias are more common in older adults than in adolescents and young adults. Rapid growth during adolescence may increase the risk of certain types of hernias, but it is not the primary age group affected by hernias.

A. Mild discomfort and a reducible bulge in the hernia site B. Severe pain, nausea, and vomiting C. Occasional burning sensation after meals D. A palpable lump that disappears when lying down

Correct Answer is B

Explanation

Choice A reason:

Mild discomfort and a reducible bulge in the hernia site may be present in some clients with hernias. While it is important to assess the hernia, these symptoms are not indicative of an incarcerated hernia.

Choice B reason:

This statement is correct. An incarcerated hernia occurs when the herniated tissue becomes trapped and cannot be reduced back into the abdominal cavity. It can lead to severe pain, nausea, and vomiting and requires immediate medical attention.

Choice C reason:

An occasional burning sensation after meals is not directly related to an incarcerated hernia. This symptom may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

Choice D reason:

A palpable lump that disappears when lying down is characteristic of a reducible hernia, not an incarcerated hernia. An incarcerated hernia cannot be manually reduced and may be associated with severe pain and other symptoms.

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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 asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Correct Answer is B

Explanation

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?

A client asks the nurse about the potential risk factors for developing femoral hernias. Which of the following factors should the nurse include in the client's education?

A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

A nurse is assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?

A nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?

A client asks the nurse about the risk factors for developing hernias. Which of the following factors should the nurse include in the client's education?

A client with a ventral hernia asks the nurse about the potential complications of this type of hernia. Which of the following complications should the nurse include in the client's education?

A client with an incarcerated hernia is scheduled for surgical repair. The client asks the nurse about the recovery period and potential restrictions after the surgery. Which of the following responses by the nurse is accurate?