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?
Pain and swelling in the lower abdomen and groin area.
Severe back pain radiating to the legs.
Nausea and vomiting.
Pain and tenderness in the upper abdomen.
The Correct Answer is A
Choice A reason:
This statement is correct. Inguinal hernias typically present with pain and swelling in the lower abdomen and groin area.
Choice B reason:
Severe back pain radiating to the legs is not a typical symptom of inguinal hernia. This symptom may indicate other conditions such as lumbar disc herniation.
Choice C reason:
Nausea and vomiting are not common symptoms of inguinal hernia. These symptoms may be present in other gastrointestinal conditions.
Choice D reason:
Pain and tenderness in the upper abdomen are not specific to inguinal hernia. These symptoms may indicate other conditions such as gallbladder problems.
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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.
Correct Answer is D
Explanation
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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