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?

"An abdominal X-ray is routinely performed to diagnose inguinal hernias."

"A barium swallow test is commonly used to confirm the presence of an inguinal hernia."

"A diagnostic laparoscopy may be ordered to visualize the hernia more clearly."

"An electrocardiogram (ECG) is necessary to rule out cardiac issues related to hernias."

Answer and Explanation

The Correct Answer is C

Choice A reason:

An abdominal X-ray is not routinely used to diagnose inguinal hernias. It is more commonly used to assess for other conditions involving the abdominal organs.

Choice B reason:

A barium swallow test is not used to diagnose inguinal hernias. It is typically used to evaluate the upper gastrointestinal tract.

Choice C reason:

This statement is correct. A diagnostic laparoscopy is a minimally invasive procedure in which a small camera is inserted into the abdominal cavity to visualize the hernia more clearly and may be ordered for certain cases of inguinal hernia.

Choice D reason:

An ECG is not necessary to diagnose or rule out inguinal hernias. It is used to assess heart function and rhythm.

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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.

A. Have the client lift their legs while lying on their back. B. Palpate the abdomen for any tender areas or masses. C. Auscultate for bowel sounds in all quadrants of the abdomen. D. Ask the client to take a deep breath and palpate the upper abdomen.

Correct Answer is D

Explanation

Choice A reason:

Having the client lift their legs while lying on their back is not a maneuver used to assess for a hiatal hernia. This position is more commonly used to assess for inguinal or femoral hernias in the groin area.

Choice B reason:

Palpating the abdomen for tender areas or masses is a general abdominal assessment and may not specifically assess for a hiatal hernia.

Choice C reason:

Auscultating for bowel sounds in all quadrants of the abdomen is also part of a general abdominal assessment and does not specifically target a hiatal hernia.

Choice D reason:

This statement is correct. Asking the client to take a deep breath and palpating the upper abdomen can help the nurse assess for a hiatal hernia. The nurse may feel for a soft bulge or protrusion in the upper abdominal area, which may indicate a hiatal hernia.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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