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. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.

Choice B reason:

Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

Choice C reason:

Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.

Choice D reason:

Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

A. "You will not experience any pain after the surgery due to anesthesia." B. "Pain after hernia surgery is usually mild and does not require pain medications." C. "You will be prescribed pain medications to manage postoperative discomfort." D. "Pain after hernia surgery is normal and will last for several weeks."

Correct Answer is C

Explanation

Choice A reason:

This statement is not accurate. While anesthesia is administered during surgery to prevent pain, clients typically experience postoperative pain as the anesthesia wears off.

Choice B reason:

Pain after hernia surgery can vary from person to person, and some clients may require pain medications to manage postoperative discomfort effectively.

Choice C reason:

This statement is correct. Clients undergoing hernia repair surgery will typically be prescribed pain medications to manage postoperative discomfort.

Choice D reason:

Pain after hernia surgery is normal but usually improves over time. The duration of postoperative pain varies, and the client should follow the healthcare provider's guidance on pain management.

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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 client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?

Correct Answer is A

Explanation

A client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?

A client asks the nurse about the risk factors for developing hernias. Which of the following factors should the nurse include in the client's education?

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?

A client asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?

A client with a hernia asks the nurse about the potential risk factors for developing this condition. Which of the following risk factors should the nurse include in the client's education?

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?

A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

A client is undergoing preoperative education before hernia repair surgery. The client asks the nurse about the risk of complications during and after the procedure. Which of the following responses by the nurse is accurate?