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 small, reducible lump that is painless to the touch

Severe abdominal pain and distention with vomiting

Mild discomfort that improves with rest and analgesics

Occasional burning sensation and acid reflux after meals

Answer and Explanation

The Correct Answer is B

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.

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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.

A. "The small incisions will heal without any scarring or visible marks." B. "You may notice small scars at the incision sites, but they will fade over time." C. "The surgeon used special techniques to close the incisions, and there will be no scars." D. "You can apply vitamin E oil to the incision sites to prevent scarring."

Correct Answer is B

Explanation

Choice A reason:

This statement is not accurate. Small incisions from laparoscopic hernia repair will heal, but they may leave small scars at the incision sites.

Choice B reason:

This statement is correct. Clients who undergo laparoscopic hernia repair may notice small scars at the incision sites, but these scars tend to fade over time.

Choice C reason:

While surgeons use special techniques to close laparoscopic incisions, it is unlikely that there will be no scars at all. Small scars are a normal outcome of this type of surgery.

Choice D reason:

Applying vitamin E oil to the incision sites may be helpful for some individuals, but it is not a guaranteed method to prevent scarring. Scarring is a natural part of the healing process after surgery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is caring for a client who had a laparoscopic hernia repair. The client is concerned about the appearance of small incisions on the abdomen. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

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 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 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 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 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 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 client with a ventral hernia asks the nurse about the potential complications of this type of hernia. Which of the following complications should the nurse include in the client's education?

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?