A client has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?
"An incisional hernia is caused by a weakness in the groin area due to heavy lifting."
"An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened."
"Incisional hernias are usually caused by a protrusion of the stomach through the diaphragm."
"This type of hernia is typically seen in infants and occurs around the umbilical area."
The Correct Answer is B
Choice A reason:
This statement describes the cause of an inguinal hernia, not an incisional hernia. An inguinal hernia occurs in the groin area and is often associated with heavy lifting or straining.
Choice B reason:
This statement is correct. An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened. The weakness allows abdominal contents to protrude through the scar tissue.
Choice C reason:
This statement describes the cause of a hiatal hernia, not an incisional hernia. A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm.
Choice D reason:
This statement describes the cause of an umbilical hernia, not an incisional hernia. An umbilical hernia occurs near the belly button and is more common in infants.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Being male and having a history of chronic constipation may increase the risk of other types of hernias, but they are not significant risk factors for femoral hernias.
Choice B reason:
Having a sedentary lifestyle and avoiding physical activity can increase the risk of hernias in general, but they are not specific to femoral hernias.
Choice C reason:
This statement is correct. Being pregnant or obese are significant risk factors for developing femoral hernias due to increased intra-abdominal pressure and weakened tissues.
Choice D reason:
Having a family history of hernias and weak abdominal muscles may be risk factors for hernias in general, but they are not specific to femoral hernias.
Correct Answer is B
Explanation
Choice A reason:
Surgery is not the only option for managing a small reducible hernia. Some clients may choose conservative management or the use of a hernia belt if surgery is not immediately necessary or feasible.
Choice B reason:
This statement is correct. Clients with small reducible hernias may choose between surgical repair or using a hernia belt to provide support and reduce symptoms. The choice depends on the client's preference, overall health, and the severity of the hernia.
Choice C reason:
Conservative management with lifestyle modifications alone is not typically sufficient for managing a hernia. Surgical intervention or the use of a hernia belt may be necessary for symptom relief and to prevent complications.
Choice D reason:
Applying a warm compress is not a standard treatment for managing hernias. It may provide temporary relief for discomfort but does not address the underlying issue.
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