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 C
Explanation
Choice A reason:
While a physical examination and medical history can provide valuable information, imaging studies are often needed to visualize and confirm the presence of a hernia accurately.
Choice B reason:
Blood tests and urinalysis are not typically used to diagnose hernias. They may be ordered to assess for other conditions or rule out other possible causes of symptoms.
Choice C reason:
This statement is correct. Imaging studies such as ultrasound, CT scan, or MRI are commonly used to visualize and confirm the presence of a hernia, assess its size, location, and determine the most appropriate treatment.
Choice D reason:
A biopsy is not necessary to diagnose a hernia. A biopsy involves the removal of tissue for examination and is usually performed to assess for cancer or other abnormal growths.
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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