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 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. "Engaging in regular physical activity and exercise can increase the risk of hernias." B. "Being underweight and having a low body mass index (BMI) can be protective against hernias." C. "Having a family history of hernias and weak connective tissues can increase the risk." D. "Wearing tight clothing and heavy lifting have no impact on the development of hernias."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Engaging in regular physical activity and exercise can actually reduce the risk of hernias by promoting stronger abdominal muscles and overall health.

Choice B reason:

This statement is incorrect. Being underweight and having a low BMI may increase the risk of hernias as there may be reduced muscle mass and weaker tissues.

Choice C reason:

This statement is correct. Having a family history of hernias and weak connective tissues are significant risk factors for developing hernias.

Choice D reason:

This statement is incorrect. Wearing tight clothing and heavy lifting can increase intra-abdominal pressure and contribute to the development of hernias.

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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 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

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Correct Answer is C

Explanation

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