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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 C

Explanation

Choice A reason:

This statement is incorrect. Engaging in regular physical activity and exercise can actually reduce the risk of hernias by promoting stronger abdominal muscles and overall health.

Choice B reason:

This statement is incorrect. Being underweight and having a low BMI may increase the risk of hernias as there may be reduced muscle mass and weaker tissues.

Choice C reason:

This statement is correct. Having a family history of hernias and weak connective tissues are significant risk factors for developing hernias.

Choice D reason:

This statement is incorrect. Wearing tight clothing and heavy lifting can increase intra-abdominal pressure and contribute to the development of hernias.

A. Pain and swelling in the lower abdomen. B. Heartburn and regurgitation of stomach acid. C. Dyspnea and difficulty breathing. D. Pain and tenderness around the umbilicus.

Correct Answer is B

Explanation

Choice A reason:

Pain and swelling in the lower abdomen are not typical symptoms of hiatal hernia. These symptoms are more characteristic of inguinal or umbilical hernias.

Choice B reason:

This statement is correct. Heartburn and regurgitation of stomach acid are common symptoms of hiatal hernia. The herniated portion of the stomach can allow stomach acid to flow back into the esophagus, leading to heartburn and regurgitation.

Choice C reason:

Dyspnea and difficulty breathing are not typical symptoms of hiatal hernia. These symptoms may be present in other respiratory or cardiovascular conditions.

Choice D reason:

Pain and tenderness around the umbilicus are not specific to hiatal hernia. These symptoms may indicate other conditions such as umbilical hernia or appendicitis.

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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 asks the nurse about the risk factors for developing hernias. Which of the following factors should the nurse include in the client's education?

Correct Answer is C

Explanation

A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

Correct Answer is B

Explanation

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 nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?

A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

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 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 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?

A nurse is assessing a client with a possible hernia. Which of the following signs or symptoms should the nurse be particularly concerned about and report to the healthcare provider?

A client with an incarcerated hernia is scheduled for surgical repair. The client asks the nurse about the recovery period and potential restrictions after the surgery. Which of the following responses by the nurse is accurate?