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A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

Incisional hernia

Umbilical hernia

Femoral hernia

Indirect inguinal hernia

Answer and Explanation

The Correct Answer is B

Choice A reason:

Incisional hernias occur at the site of a previous surgical incision and may not change with positional changes.

Choice B reason:

This statement is correct. Umbilical hernias are characterized by a bulge or lump in the abdominal area that is more noticeable when standing or exerting pressure and may disappear when lying down.

Choice C reason:

Femoral hernias are typically located in the upper thigh and may not be affected by positional changes.

Choice D reason:

Indirect inguinal hernias may present with a bulge or lump in the inguinal area, but the lump typically does not change with positional changes.

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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.

A. Palpation of the abdominal area B. Auscultation of bowel sounds C. Inspection of the oral cavity D. Percussion of the lung fields

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.

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A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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 visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

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?

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 nurse is assessing a client with a suspected inguinal hernia. Which of the following symptoms should the nurse expect to find during the assessment?

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 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 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 providing education to a client about hernias. Which of the following statements by the client indicates a need for further teaching about hernias?