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 B

Explanation

Choice A reason:

While hernias can occur in infants and young children, they are not more common in this age group due to weak abdominal muscles. Inguinal hernias are more common in infants, but other types of hernias may have different age distributions.

Choice B reason:

This statement is correct. Hernias are primarily seen in older adults and the elderly due to age-related changes in connective tissues, such as a decrease in collagen and elastin fibers.

Choice C reason:

This statement is incorrect. Age is a significant risk factor for hernias, and they are more common in older adults.

Choice D reason:

Hernias are more common in older adults than in adolescents and young adults. Rapid growth during adolescence may increase the risk of certain types of hernias, but it is not the primary age group affected by hernias.

A. "Hernias occur when an organ pushes through a weak spot in the surrounding muscle or connective tissue." B. "Hernias can be caused by heavy lifting or straining during bowel movements." C. "Hernias are always visible as bulging lumps under the skin." D. "Surgery is the primary treatment for most types of hernias."

Correct Answer is C

Explanation

Choice A reason:

This statement is correct. Hernias occur when an organ, such as the intestine or abdominal tissue, protrudes through a weakened area in the muscle or connective tissue.

Choice B reason:

This statement is correct. Heavy lifting, straining during bowel movements, or activities that increase intra-abdominal pressure can contribute to the development of hernias.

Choice C reason:

This statement is incorrect and indicates a need for further teaching. Not all hernias are visible as bulging lumps under the skin. Some hernias may not be externally noticeable and are diagnosed through imaging studies.

Choice D reason:

This statement is correct. Surgery is often the primary treatment for most types of hernias to repair the weakened area and prevent complications.

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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 client asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is providing education to a client about hernias. Which of the following statements by the client indicates a need for further teaching about hernias?

Correct Answer is C

Explanation

A nurse is assessing a client with a suspected inguinal hernia. Which of the following symptoms should the nurse expect to find during the assessment?

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

A client has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?

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?

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?