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 B

Explanation

Choice A reason:

A small, reducible lump that is painless to the touch is consistent with some types of hernias and may not be a cause for immediate concern. However, the healthcare provider should still be notified for further evaluation.

Choice B reason:

This statement is correct. Severe abdominal pain and distention with vomiting may indicate a complication of a hernia, such as bowel obstruction or strangulation, which requires immediate medical attention.

Choice C reason:

Mild discomfort that improves with rest and analgesics may be typical for some individuals with hernias. However, it is still essential to report any changes in symptoms to the healthcare provider.

Choice D reason:

Occasional burning sensation and acid reflux after meals are not directly related to hernias. These symptoms may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

A. "An abdominal X-ray is routinely performed to diagnose inguinal hernias." B. "A barium swallow test is commonly used to confirm the presence of an inguinal hernia." C. "A diagnostic laparoscopy may be ordered to visualize the hernia more clearly." D. "An electrocardiogram (ECG) is necessary to rule out cardiac issues related to hernias."

Correct Answer is C

Explanation

Choice A reason:

An abdominal X-ray is not routinely used to diagnose inguinal hernias. It is more commonly used to assess for other conditions involving the abdominal organs.

Choice B reason:

A barium swallow test is not used to diagnose inguinal hernias. It is typically used to evaluate the upper gastrointestinal tract.

Choice C reason:

This statement is correct. A diagnostic laparoscopy is a minimally invasive procedure in which a small camera is inserted into the abdominal cavity to visualize the hernia more clearly and may be ordered for certain cases of inguinal hernia.

Choice D reason:

An ECG is not necessary to diagnose or rule out inguinal hernias. It is used to assess heart function and rhythm.

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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 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?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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