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 C
Explanation
Choice A reason:
This statement is incorrect. Engaging in regular physical activity and exercise can actually reduce the risk of hernias by promoting stronger abdominal muscles and overall health.
Choice B reason:
This statement is incorrect. Being underweight and having a low BMI may increase the risk of hernias as there may be reduced muscle mass and weaker tissues.
Choice C reason:
This statement is correct. Having a family history of hernias and weak connective tissues are significant risk factors for developing hernias.
Choice D reason:
This statement is incorrect. Wearing tight clothing and heavy lifting can increase intra-abdominal pressure and contribute to the development of hernias.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Strangulation of the herniated tissue is a potential complication of ventral hernia, leading to compromised blood flow to the hernia and possible tissue necrosis.
Choice B reason:
Developing gallstones is not a complication of ventral hernia. Gallstones are unrelated to this type of hernia.
Choice C reason:
Experiencing urinary retention and difficulty passing stool are not typical complications of ventral hernia. These symptoms may indicate other conditions affecting the urinary or gastrointestinal system.
Choice D reason:
Experiencing severe back pain and leg numbness are not specific to ventral hernia. These symptoms may indicate other musculoskeletal or neurological issues.
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