A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?
Have the client lift their legs while lying on their back.
Palpate the abdomen for any tender areas or masses.
Auscultate for bowel sounds in all quadrants of the abdomen.
Ask the client to take a deep breath and palpate the upper abdomen.
The Correct Answer is D
Choice A reason:
Having the client lift their legs while lying on their back is not a maneuver used to assess for a hiatal hernia. This position is more commonly used to assess for inguinal or femoral hernias in the groin area.
Choice B reason:
Palpating the abdomen for tender areas or masses is a general abdominal assessment and may not specifically assess for a hiatal hernia.
Choice C reason:
Auscultating for bowel sounds in all quadrants of the abdomen is also part of a general abdominal assessment and does not specifically target a hiatal hernia.
Choice D reason:
This statement is correct. Asking the client to take a deep breath and palpating the upper abdomen can help the nurse assess for a hiatal hernia. The nurse may feel for a soft bulge or protrusion in the upper abdominal area, which may indicate a hiatal hernia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Inguinal hernias typically present with pain and swelling in the lower abdomen and groin area.
Choice B reason:
Severe back pain radiating to the legs is not a typical symptom of inguinal hernia. This symptom may indicate other conditions such as lumbar disc herniation.
Choice C reason:
Nausea and vomiting are not common symptoms of inguinal hernia. These symptoms may be present in other gastrointestinal conditions.
Choice D reason:
Pain and tenderness in the upper abdomen are not specific to inguinal hernia. These symptoms may indicate other conditions such as gallbladder problems.
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.
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