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?
"The client's history of chronic coughing and straining during bowel movements."
"The client's recent history of heavy lifting and physical exertion."
"The client's family history of hernias and weak connective tissues."
"The client's history of abdominal surgery and weakened scar tissue."
The Correct Answer is D
Choice A reason:
The client's history of chronic coughing and straining during bowel movements may increase the risk of other types of hernias, but they are not significant risk factors for incisional hernias.
Choice B reason:
The client's recent history of heavy lifting and physical exertion can increase the risk of hernias in general, but they are not specific to incisional hernias.
Choice C reason:
The client's family history of hernias and weak connective tissues may be risk factors for hernias in general, but they are not specific to incisional hernias.
Choice D reason:
This statement is correct. Incisional hernias occur at the site of a previous surgical incision where the abdominal muscles and tissues may be weakened, leading to the protrusion of abdominal contents.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:
This statement is incorrect. Being physically active and engaging in regular exercise can actually reduce the risk of hernias by strengthening the abdominal muscles and connective tissue.
Choice B reason:
This statement is incorrect. Having a high BMI is a risk factor for developing hernias. Excess weight can increase intra-abdominal pressure and weaken the abdominal muscles, making hernia development more likely.
Choice C reason:
This statement is correct. Smoking and chronic coughing can contribute to the development of hernias by putting increased pressure on the abdominal muscles and weakening the tissue.
Choice D reason:
This statement is incorrect. Family history can play a role in hernia development, as genetics can influence the strength of the abdominal muscles and connective tissue.
Correct Answer is B
Explanation
Choice A reason:
Increased risk of developing gallstones is not a complication related to femoral hernia repair. Gallstones are unrelated to hernia surgery.
Choice B reason:
This statement is correct. The potential for recurrent hernia formation after the surgical repair is a complication that the nurse should discuss with the client. Recurrence can happen in some cases, and the client needs to be aware of this possibility.
Choice C reason:
Changes in vocal cord function are not related to femoral hernia repair. This complication is not relevant to hernia surgery.
Choice D reason:
Development of skin rashes and allergic reactions postoperatively are not typical complications of femoral hernia repair. These complications may occur in response to medications or dressings, but they are not directly related to the hernia surgery.
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