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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

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.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

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 has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?

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 client with an inguinal hernia reports experiencing a painful bulge in the groin area that becomes more prominent when coughing or lifting heavy objects. Which of the following types of hernias is the client likely experiencing?

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 nurse is assessing a client with a suspected inguinal hernia. Which of the following symptoms should the nurse expect to find during the assessment?

A client has been diagnosed with a femoral hernia and asks the nurse about the potential risk factors for developing this type of hernia. Which of the following risk factors should the nurse include in the client's education?

A client with an umbilical hernia is concerned about the potential for hernia recurrence after surgical repair. Which of the following factors should the nurse include in the discussion with the client regarding hernia recurrence?

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?