A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Mild discomfort and a reducible bulge in the hernia site

Severe pain, nausea, and vomiting

Occasional burning sensation after meals

A palpable lump that disappears when lying down

Answer and Explanation

The Correct Answer is B

Choice A reason:

Mild discomfort and a reducible bulge in the hernia site may be present in some clients with hernias. While it is important to assess the hernia, these symptoms are not indicative of an incarcerated hernia.

Choice B reason:

This statement is correct. An incarcerated hernia occurs when the herniated tissue becomes trapped and cannot be reduced back into the abdominal cavity. It can lead to severe pain, nausea, and vomiting and requires immediate medical attention.

Choice C reason:

An occasional burning sensation after meals is not directly related to an incarcerated hernia. This symptom may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

Choice D reason:

A palpable lump that disappears when lying down is characteristic of a reducible hernia, not an incarcerated hernia. An incarcerated hernia cannot be manually reduced and may be associated with severe pain and other symptoms.

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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. Palpation of the abdominal area B. Auscultation of bowel sounds C. Inspection of the oral cavity D. Percussion of the lung fields

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.

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A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

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 A

Explanation

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