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?

"Take a laxative daily to relieve constipation caused by pain medications."

"Avoid physical activity and rest in bed until the constipation resolves."

"Reduce fluid intake to minimize the need for frequent trips to the bathroom."

"Engage in light physical activity, such as walking, to promote bowel movement."

Answer and Explanation

The Correct Answer is D

Choice A reason:

Taking a laxative daily may not be necessary and should only be done under the guidance of a healthcare provider. Overusing laxatives can lead to dependency and other gastrointestinal issues.

Choice B reason:

Resting in bed for an extended period can worsen constipation. Physical activity helps promote bowel movement and should be encouraged.

Choice C reason:

Reducing fluid intake is not recommended for managing constipation. Staying hydrated is essential to prevent further complications and maintain overall health.

Choice D reason:

This statement is correct. Engaging in light physical activity, such as walking, helps stimulate bowel movement and may relieve constipation caused by pain medications.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. While some redness and swelling are normal after surgery, a fever or drainage from the wound may indicate an infection and require medical attention.

Choice B reason:

Wound infection is not common after hernia surgery. It is essential to provide accurate information to the client to avoid unnecessary concerns.

Choice C reason:

While some drainage is normal after surgery, foul-smelling drainage may indicate an infection and require medical attention.

Choice D reason:

Bruising or discoloration around the incision site may be expected after surgery and does not necessarily indicate an infection.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent hernia repair surgery. The client asks about the signs of wound infection and when to seek medical attention. Which of the following responses by the nurse is accurate?

Correct Answer is A

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 nurse is providing education to a client who has been diagnosed with a small reducible hernia. The client asks about the management options for this condition. Which of the following responses by the nurse is accurate?

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 umbilical hernia is concerned about the potential for hernia recurrence after surgical repair. Which of the following factors should the nurse include in the discussion with the client regarding hernia recurrence?

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 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?

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?

A nurse is providing education to a client about the risk factors for inguinal hernias. Which of the following factors should the nurse include as a significant risk factor for developing this type of hernia?

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?