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?

Hiatal hernia

Umbilical hernia

Incisional hernia

Inguinal hernia

Answer and Explanation

The Correct Answer is D

Choice A reason:

A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice B reason:

An umbilical hernia occurs when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice C reason:

An incisional hernia occurs at the site of a previous surgical incision where the abdominal muscles have weakened. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice D reason:

This statement is correct. An inguinal hernia is a type of hernia that occurs in the groin area and is characterized by a painful bulge that becomes more prominent during activities such as coughing or lifting heavy objects.

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Correct Answer is B

Explanation

Choice A reason:

This statement is not accurate. While anesthesia is administered during surgery to prevent pain, clients typically experience postoperative pain as the anesthesia wears off.

Choice B reason:

This statement is correct. The nurse should inform the client that pain medications will be provided as needed to manage postoperative pain effectively.

Choice C reason:

Providing a prescription for over-the-counter pain relievers is not typical for postoperative pain management. Clients usually receive prescription pain medications after hernia surgery.

Choice D reason:

Requiring the client to tolerate the pain without any pain medication is not appropriate. Adequate pain management is essential for client comfort and recovery after surgery.

A. "Lie down flat after meals to promote digestion and reduce heartburn." B. "Consume large meals to avoid frequent snacking, which can worsen symptoms." C. "Avoid spicy and acidic foods, as they can trigger heartburn and acid reflux." D. "Use over-the-counter antacids as a substitute for prescription medications."

Correct Answer is C

Explanation

Choice A reason:

Lying down flat after meals can worsen heartburn and acid reflux, especially in clients with hiatal hernias. The client should remain in an upright position after meals to minimize symptoms.

Choice B reason:

Consuming large meals can increase stomach pressure and worsen symptoms for clients with hiatal hernias. Eating smaller, more frequent meals is recommended.

Choice C reason:

This statement is correct. Spicy and acidic foods can trigger heartburn and acid reflux in clients with hiatal hernias. Avoiding these foods can help alleviate symptoms.

Choice D reason:

Over-the-counter antacids may provide temporary relief for heartburn, but they are not a substitute for prescription medications. The client should follow the healthcare provider's prescribed treatment plan for managing the hiatal hernia and associated symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a ventral hernia is scheduled for elective surgical repair. The client is concerned about postoperative pain management. Which of the following interventions should the nurse include in the client's preoperative education?

Correct Answer is B

Explanation

A client has been diagnosed with a hiatal hernia and is experiencing frequent heartburn and regurgitation of stomach acid. Which of the following interventions should the nurse recommend to the client to alleviate these symptoms?

Correct Answer is C

Explanation

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 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?

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 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 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 has been diagnosed with a femoral hernia and asks the nurse about the potential risk factors for developing this type of hernia. Which of the following risk factors should the nurse include in the client's education?

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 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?