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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 A

Explanation

Choice A reason:

This statement is correct. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.

Choice B reason:

Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

Choice C reason:

Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.

Choice D reason:

Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

A. "Having a sedentary lifestyle and avoiding physical activity." B. "Having a history of chronic constipation and straining during bowel movements." C. "Being pregnant or using hormonal contraceptives." D. "Being of Asian descent and having a family history of hernias."

Correct Answer is B

Explanation

Choice A reason:

Having a sedentary lifestyle and avoiding physical activity can increase the risk of hernias by promoting weaker abdominal muscles, but it is not specific to inguinal hernias.

Choice B reason:

This statement is correct. Chronic constipation and straining during bowel movements can increase intra-abdominal pressure and contribute to the development of inguinal hernias.

Choice C reason:

Being pregnant or using hormonal contraceptives may increase the risk of other types of hernias, such as umbilical hernias, but they are not significant risk factors for inguinal hernias.

Choice D reason:

Being of Asian descent and having a family history of hernias may be risk factors for hernias in general, but they are not specific to inguinal hernias.

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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 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?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

A client with suspected hernia asks the nurse about the diagnostic tests that may be done to confirm the diagnosis. Which of the following responses by the nurse is accurate?

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 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?

A client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

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 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 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 client asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?