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?
"The small incisions will heal without any scarring or visible marks."
"You may notice small scars at the incision sites, but they will fade over time."
"The surgeon used special techniques to close the incisions, and there will be no scars."
"You can apply vitamin E oil to the incision sites to prevent scarring."
The Correct Answer is B
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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Correct Answer is B
Explanation
Choice A reason:
Surgery is not the only option for managing a small reducible hernia. Some clients may choose conservative management or the use of a hernia belt if surgery is not immediately necessary or feasible.
Choice B reason:
This statement is correct. Clients with small reducible hernias may choose between surgical repair or using a hernia belt to provide support and reduce symptoms. The choice depends on the client's preference, overall health, and the severity of the hernia.
Choice C reason:
Conservative management with lifestyle modifications alone is not typically sufficient for managing a hernia. Surgical intervention or the use of a hernia belt may be necessary for symptom relief and to prevent complications.
Choice D reason:
Applying a warm compress is not a standard treatment for managing hernias. It may provide temporary relief for discomfort but does not address the underlying issue.
Correct Answer is B
Explanation
Choice A reason:
Incisional hernias occur at the site of a previous surgical incision and may not change with positional changes.
Choice B reason:
This statement is correct. Umbilical hernias are characterized by a bulge or lump in the abdominal area that is more noticeable when standing or exerting pressure and may disappear when lying down.
Choice C reason:
Femoral hernias are typically located in the upper thigh and may not be affected by positional changes.
Choice D reason:
Indirect inguinal hernias may present with a bulge or lump in the inguinal area, but the lump typically does not change with positional changes.
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