A client has been diagnosed with a femoral hernia and asks the nurse about the potential risk factors for developing this type of hernia. Which of the following risk factors should the nurse include in the client's education?
"Femoral hernias are more common in men due to differences in pelvic anatomy."
"Chronic coughing and obesity can increase the risk of developing femoral hernias."
"Femoral hernias are typically seen in infants and are related to abdominal muscle weakness."
"Wearing tight clothing can help prevent the development of femoral hernias."
The Correct Answer is B
Choice A reason:
This statement is incorrect. Femoral hernias are more common in women, not men. The anatomy of the female pelvis makes them more susceptible to femoral hernias.
Choice B reason:
This statement is correct. Chronic coughing and obesity can increase intra-abdominal pressure and contribute to the development of femoral hernias.
Choice C reason:
This statement describes the cause of an umbilical hernia in infants, not a femoral hernia. Femoral hernias are more common in adult women.
Choice D reason:
Wearing tight clothing can actually increase the risk of femoral hernias by putting additional pressure on the abdominal area. Loose, comfortable clothing is recommended to reduce the risk of hernia development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
Lying down flat after meals can worsen heartburn and acid reflux, especially in clients with hiatal hernias. The client should remain in an upright position after meals to minimize symptoms.
Choice B reason:
Consuming large meals can increase stomach pressure and worsen symptoms for clients with hiatal hernias. Eating smaller, more frequent meals is recommended.
Choice C reason:
This statement is correct. Spicy and acidic foods can trigger heartburn and acid reflux in clients with hiatal hernias. Avoiding these foods can help alleviate symptoms.
Choice D reason:
Over-the-counter antacids may provide temporary relief for heartburn, but they are not a substitute for prescription medications. The client should follow the healthcare provider's prescribed treatment plan for managing the hiatal hernia and associated symptoms.
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