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."

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Palpation of the abdominal area is specifically used to assess for umbilical hernias. The nurse will feel for a bulge or protrusion around the umbilical region when the client coughs or strains.

Choice B reason:

Auscultation of bowel sounds is a general assessment technique used to listen to the bowel sounds in the abdomen and is not specific to umbilical hernias.

Choice C reason:

Inspection of the oral cavity is not relevant to assessing for umbilical hernias. It is used for oral and dental examinations.

Choice D reason:

Percussion of the lung fields is not relevant to assessing for umbilical hernias. It is used to assess the lungs for abnormalities.

A. "The ultrasound will help determine if you have a bacterial infection in the hernia." B. "The ultrasound will provide detailed images to confirm the presence and location of the hernia." C. "The ultrasound will assess the blood flow to the hernia and determine the severity." D. "The ultrasound will measure your lung capacity and assess for any breathing difficulties related to the hernia."

Correct Answer is B

Explanation

Choice A reason:

An ultrasound is not used to determine bacterial infections. It is primarily used for imaging soft tissues and organs.

Choice B reason:

This statement is correct. An ultrasound provides detailed images and is commonly used to confirm the presence and location of hernias.

Choice C reason:

An ultrasound is not typically used to assess blood flow to hernias. This type of assessment may be done using Doppler ultrasound or other imaging studies.

Choice D reason:

An ultrasound is not used to measure lung capacity or assess breathing difficulties related to hernias. It is used to visualize soft tissues and organs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with a suspected hernia is being prepared for an ultrasound examination. The client asks the nurse about the purpose of this test. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is providing education to a client about different types of hernias. Which of the following statements by the client indicates a need for further clarification about umbilical hernias?

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 client with a femoral hernia is considering surgical repair. The client expresses concerns about potential complications of the procedure. Which of the following complications should the nurse discuss with the client?

A nurse is caring for a client with a suspected inguinal hernia. The client asks about the potential need for additional diagnostic tests. Which of the following responses by the nurse is accurate?

A client is undergoing preoperative education before hernia repair surgery. The client asks the nurse about the risk of complications during and after the procedure. Which of the following responses by the nurse is accurate?

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?

A client is recovering from hernia repair surgery and is experiencing constipation due to postoperative pain medications. The nurse advises the client to increase fiber intake and stay hydrated. Which of the following additional measures should the nurse recommend?

A client with an inguinal hernia reports experiencing a painful bulge in the groin area that becomes more prominent when coughing or lifting heavy objects. Which of the following types of hernias is the client likely experiencing?