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.

Answer and Explanation

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.

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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.

A. "Take a laxative daily to relieve constipation caused by pain medications." B. "Avoid physical activity and rest in bed until the constipation resolves." C. "Reduce fluid intake to minimize the need for frequent trips to the bathroom." D. "Engage in light physical activity, such as walking, to promote bowel movement."

Correct Answer is D

Explanation

Choice A reason:

Taking a laxative daily may not be necessary and should only be done under the guidance of a healthcare provider. Overusing laxatives can lead to dependency and other gastrointestinal issues.

Choice B reason:

Resting in bed for an extended period can worsen constipation. Physical activity helps promote bowel movement and should be encouraged.

Choice C reason:

Reducing fluid intake is not recommended for managing constipation. Staying hydrated is essential to prevent further complications and maintain overall health.

Choice D reason:

This statement is correct. Engaging in light physical activity, such as walking, helps stimulate bowel movement and may relieve constipation caused by pain medications.

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A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has been diagnosed with a small reducible hernia. The client asks about the management options for this condition. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

A client is recovering from hernia repair surgery and is experiencing constipation due to postoperative pain medications. The nurse advises the client to increase fiber intake and stay hydrated. Which of the following additional measures should the nurse recommend?

Correct Answer is D

Explanation

A client with a ventral hernia asks the nurse about the potential complications of this type of hernia. Which of the following complications should the nurse include in the client's education?

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?

A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

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?

A client asks the nurse about the potential risk factors for developing femoral hernias. Which of the following factors should the nurse include in the client's education?

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 client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

A nurse is providing discharge instructions to a client who underwent hernia repair surgery. The client asks about the signs of wound infection and when to seek medical attention. Which of the following responses by the nurse is accurate?