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?

"You will need to avoid lifting anything heavier than 10 pounds for at least two weeks after the surgery."

"After the surgery, you can resume your regular activities immediately with no restrictions."

"You may need to stay in the hospital for a few days after the surgery for observation and recovery."

"You will be required to perform vigorous abdominal exercises daily to strengthen the area after the surgery."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement may be accurate, but the specific weight restriction and duration of restriction will depend on the individual client's surgical procedure and the surgeon's post-operative instructions.

Choice B reason:

Resuming regular activities immediately with no restrictions is not typical after hernia surgery. Clients usually have post-operative limitations and activity restrictions to promote healing and prevent complications.

Choice C reason:

This statement is correct. After the surgery, clients with incarcerated hernias may need to stay in the hospital for a few days for observation and recovery. The healthcare team will monitor for any potential complications and ensure the client's safety during the initial recovery period.

Choice D reason:

Performing vigorous abdominal exercises immediately after hernia surgery is not recommended. Clients need to allow the surgical site to heal before starting any strenuous activities, including exercise.

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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. 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 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?

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 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 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 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 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 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 a hernia asks the nurse about the potential risk factors for developing this condition. Which of the following risk factors should the nurse include in the client's education?

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?

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 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?