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. 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. "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 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 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 client with a suspected hernia is being prepared for an ultrasound examination. The client asks the nurse about the purpose of this test. Which of the following responses by the nurse is accurate?

A client has been diagnosed with a hiatal hernia and is experiencing frequent heartburn and regurgitation of stomach acid. Which of the following interventions should the nurse recommend to the client to alleviate these symptoms?

A nurse is providing education to a client who has been diagnosed with a small reducible hernia. The client asks about the management options for this condition. Which of the following responses by the nurse is accurate?

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 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?

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?

A client with an incarcerated hernia is scheduled for surgical repair. The client asks the nurse about the recovery period and potential restrictions after the surgery. 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?