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. Palpation of the abdominal area is specifically used to assess for umbilical hernias. The nurse will feel for a bulge or protrusion around the umbilical region when the client coughs or strains.

Choice B reason:

Auscultation of bowel sounds is a general assessment technique used to listen to the bowel sounds in the abdomen and is not specific to umbilical hernias.

Choice C reason:

Inspection of the oral cavity is not relevant to assessing for umbilical hernias. It is used for oral and dental examinations.

Choice D reason:

Percussion of the lung fields is not relevant to assessing for umbilical hernias. It is used to assess the lungs for abnormalities.

A. "Take a laxative daily to relieve constipation caused by pain medications." B. "Avoid physical activity and rest in bed until the constipation resolves." C. "Reduce fluid intake to minimize the need for frequent trips to the bathroom." D. "Engage in light physical activity, such as walking, to promote bowel movement."

Correct Answer is D

Explanation

Choice A reason:

Taking a laxative daily may not be necessary and should only be done under the guidance of a healthcare provider. Overusing laxatives can lead to dependency and other gastrointestinal issues.

Choice B reason:

Resting in bed for an extended period can worsen constipation. Physical activity helps promote bowel movement and should be encouraged.

Choice C reason:

Reducing fluid intake is not recommended for managing constipation. Staying hydrated is essential to prevent further complications and maintain overall health.

Choice D reason:

This statement is correct. Engaging in light physical activity, such as walking, helps stimulate bowel movement and may relieve constipation caused by pain medications.

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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 assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?

Correct Answer is A

Explanation

A client is recovering from hernia repair surgery and is experiencing constipation due to postoperative pain medications. The nurse advises the client to increase fiber intake and stay hydrated. Which of the following additional measures should the nurse recommend?

Correct Answer is D

Explanation

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