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."

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason:

A small, reducible lump that is painless to the touch is consistent with some types of hernias and may not be a cause for immediate concern. However, the healthcare provider should still be notified for further evaluation.

Choice B reason:

This statement is correct. Severe abdominal pain and distention with vomiting may indicate a complication of a hernia, such as bowel obstruction or strangulation, which requires immediate medical attention.

Choice C reason:

Mild discomfort that improves with rest and analgesics may be typical for some individuals with hernias. However, it is still essential to report any changes in symptoms to the healthcare provider.

Choice D reason:

Occasional burning sensation and acid reflux after meals are not directly related to hernias. These symptoms may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

A. Ultrasound B. MRI (Magnetic Resonance Imaging) C. CT (Computed Tomography) scan D. X-ray

Correct Answer is C

Explanation

Choice A reason:

Ultrasound may be used to assess some types of hernias, but it is not the most commonly used imaging study for assessing incisional hernias.

Choice B reason:

MRI (Magnetic Resonance Imaging) provides detailed images and may be used for assessing hernias, but it is not the most commonly used imaging study for incisional hernias.

Choice C reason:

This statement is correct. A CT (Computed Tomography) scan is most commonly used to assess incisional hernias as it provides detailed cross-sectional images of the abdominal wall and herniated tissues.

Choice D reason:

X-rays are not typically used to assess incisional hernias. X-rays provide limited information on soft tissues and are more commonly used for bone-related assessments.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with a possible hernia. Which of the following signs or symptoms should the nurse be particularly concerned about and report to the healthcare provider?

Correct Answer is B

Explanation

A nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?

Correct Answer is C

Explanation

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