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 A

Explanation

Choice A reason:

This statement is correct. While some redness and swelling are normal after surgery, a fever or drainage from the wound may indicate an infection and require medical attention.

Choice B reason:

Wound infection is not common after hernia surgery. It is essential to provide accurate information to the client to avoid unnecessary concerns.

Choice C reason:

While some drainage is normal after surgery, foul-smelling drainage may indicate an infection and require medical attention.

Choice D reason:

Bruising or discoloration around the incision site may be expected after surgery and does not necessarily indicate an infection.

A. "The size and location of the hernia do not affect the risk of recurrence." B. "Your age and overall health have no impact on the likelihood of hernia recurrence." C. "Smoking and obesity can increase the risk of hernia recurrence after surgery." D. "The type of surgical repair does not affect the risk of hernia recurrence."

Correct Answer is C

Explanation

Choice A reason:

The size and location of the hernia can affect the risk of recurrence. Larger hernias or those in certain locations may have a higher risk of recurrence.

Choice B reason:

Age and overall health can influence the risk of hernia recurrence. Certain health conditions and age-related factors may affect the body's ability to heal and recover after surgery.

Choice C reason:

This statement is correct. Smoking and obesity are risk factors that can increase the likelihood of hernia recurrence after surgical repair. These factors can impair wound healing and weaken the abdominal wall, making recurrence more likely.

Choice D reason:

The type of surgical repair can affect the risk of hernia recurrence. Different surgical techniques may have varying rates of success and recurrence, and the choice of repair should be discussed with the healthcare provider.

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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 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?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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