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."

Answer and Explanation

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:

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.

A. "Hernias are more common in infants and young children due to weak abdominal muscles." B. "Hernias are primarily seen in older adults and the elderly due to age-related changes in connective tissues." C. "Hernias occur at the same frequency across all age groups, and age is not a significant risk factor." D. "Hernias are more common in adolescents and young adults, especially during periods of rapid growth."

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Correct Answer is B

Explanation

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 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?

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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 providing education to a client about different types of hernias. Which of the following statements by the client indicates a need for further clarification about umbilical hernias?

A client is undergoing preoperative education before hernia repair surgery. The client asks the nurse about the risk of complications during and after the procedure. Which of the following responses by the nurse is accurate?

A nurse is caring for a client with a suspected incisional hernia. Which of the following factors should the nurse consider as a potential cause of this type of hernia?