A nurse is assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?
Palpation of the abdominal area
Auscultation of bowel sounds
Inspection of the oral cavity
Percussion of the lung fields
The Correct Answer is A
Choice A reason:
This statement is correct. Palpation of the abdominal area is specifically used to assess for umbilical hernias. The nurse will feel for a bulge or protrusion around the umbilical region when the client coughs or strains.
Choice B reason:
Auscultation of bowel sounds is a general assessment technique used to listen to the bowel sounds in the abdomen and is not specific to umbilical hernias.
Choice C reason:
Inspection of the oral cavity is not relevant to assessing for umbilical hernias. It is used for oral and dental examinations.
Choice D reason:
Percussion of the lung fields is not relevant to assessing for umbilical hernias. It is used to assess the lungs for abnormalities.
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Correct Answer is C
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:
Pain after hernia surgery can vary from person to person, and some clients may require pain medications to manage postoperative discomfort effectively.
Choice C reason:
This statement is correct. Clients undergoing hernia repair surgery will typically be prescribed pain medications to manage postoperative discomfort.
Choice D reason:
Pain after hernia surgery is normal but usually improves over time. The duration of postoperative pain varies, and the client should follow the healthcare provider's guidance on pain management.
Correct Answer is B
Explanation
Choice A reason:
This statement is incorrect. Femoral hernias are more common in women, not men. The anatomy of the female pelvis makes them more susceptible to femoral hernias.
Choice B reason:
This statement is correct. Chronic coughing and obesity can increase intra-abdominal pressure and contribute to the development of femoral hernias.
Choice C reason:
This statement describes the cause of an umbilical hernia in infants, not a femoral hernia. Femoral hernias are more common in adult women.
Choice D reason:
Wearing tight clothing can actually increase the risk of femoral hernias by putting additional pressure on the abdominal area. Loose, comfortable clothing is recommended to reduce the risk of hernia development.
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