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 A

Explanation

Choice A reason:

This statement is correct. Strangulation of the herniated tissue is a potential complication of ventral hernia, leading to compromised blood flow to the hernia and possible tissue necrosis.

Choice B reason:

Developing gallstones is not a complication of ventral hernia. Gallstones are unrelated to this type of hernia.

Choice C reason:

Experiencing urinary retention and difficulty passing stool are not typical complications of ventral hernia. These symptoms may indicate other conditions affecting the urinary or gastrointestinal system.

Choice D reason:

Experiencing severe back pain and leg numbness are not specific to ventral hernia. These symptoms may indicate other musculoskeletal or neurological issues.

A. Hiatal hernia B. Umbilical hernia C. Incisional hernia D. Inguinal hernia

Correct Answer is D

Explanation

Choice A reason:

A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice B reason:

An umbilical hernia occurs when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice C reason:

An incisional hernia occurs at the site of a previous surgical incision where the abdominal muscles have weakened. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice D reason:

This statement is correct. An inguinal hernia is a type of hernia that occurs in the groin area and is characterized by a painful bulge that becomes more prominent during activities such as coughing or lifting heavy objects.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with an inguinal hernia reports experiencing a painful bulge in the groin area that becomes more prominent when coughing or lifting heavy objects. Which of the following types of hernias is the client likely experiencing?

Correct Answer is D

Explanation

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