A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?
Pain and swelling in the lower abdomen.
Heartburn and regurgitation of stomach acid.
Dyspnea and difficulty breathing.
Pain and tenderness around the umbilicus.
The Correct Answer is B
Choice A reason:
Pain and swelling in the lower abdomen are not typical symptoms of hiatal hernia. These symptoms are more characteristic of inguinal or umbilical hernias.
Choice B reason:
This statement is correct. Heartburn and regurgitation of stomach acid are common symptoms of hiatal hernia. The herniated portion of the stomach can allow stomach acid to flow back into the esophagus, leading to heartburn and regurgitation.
Choice C reason:
Dyspnea and difficulty breathing are not typical symptoms of hiatal hernia. These symptoms may be present in other respiratory or cardiovascular conditions.
Choice D reason:
Pain and tenderness around the umbilicus are not specific to hiatal hernia. These symptoms may indicate other conditions such as umbilical hernia or appendicitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.