A nurse is providing education to a client about different types of hernias. Which of the following statements by the client indicates a need for further clarification about umbilical hernias?

"Umbilical hernias occur when the intestine protrudes through the abdominal wall near the belly button."

"Umbilical hernias are more common in infants and pregnant women."

"Surgery is typically required to repair an umbilical hernia in adults."

"I should avoid lifting heavy objects to prevent the development of an umbilical hernia."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement is correct. Umbilical hernias occur when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button (umbilicus).

Choice B reason:

This statement is correct. Umbilical hernias are more common in infants, as their abdominal muscles are still developing, and in pregnant women due to increased intra-abdominal pressure.

Choice C reason:

This statement is correct. Surgery is typically required to repair an umbilical hernia in adults, especially if the hernia is large, painful, or at risk of complications.

Choice D reason:

This statement is incorrect and indicates a need for further clarification. Umbilical hernias in adults can develop due to factors such as obesity, pregnancy, or chronic coughing. While avoiding heavy lifting may help prevent hernias in general, it is not the primary preventive measure for umbilical hernias.

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Correct Answer is D

Explanation

Choice A reason:

Taking a laxative daily may not be necessary and should only be done under the guidance of a healthcare provider. Overusing laxatives can lead to dependency and other gastrointestinal issues.

Choice B reason:

Resting in bed for an extended period can worsen constipation. Physical activity helps promote bowel movement and should be encouraged.

Choice C reason:

Reducing fluid intake is not recommended for managing constipation. Staying hydrated is essential to prevent further complications and maintain overall health.

Choice D reason:

This statement is correct. Engaging in light physical activity, such as walking, helps stimulate bowel movement and may relieve constipation caused by pain medications.

A. Hiatal hernia B. Umbilical hernia C. Incisional hernia D. Inguinal hernia

Correct Answer is D

Explanation

Choice A reason:

A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice B reason:

An umbilical hernia occurs when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice C reason:

An incisional hernia occurs at the site of a previous surgical incision where the abdominal muscles have weakened. It is not related to the groin area or influenced by coughing or heavy lifting.

Choice D reason:

This statement is correct. An inguinal hernia is a type of hernia that occurs in the groin area and is characterized by a painful bulge that becomes more prominent during activities such as coughing or lifting heavy objects.

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A nurse is providing education to a client about different types of hernias. Which of the following statements by the client indicates a need for further clarification about umbilical hernias?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from hernia repair surgery and is experiencing constipation due to postoperative pain medications. The nurse advises the client to increase fiber intake and stay hydrated. Which of the following additional measures should the nurse recommend?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 nurse is assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?

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 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 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 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 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 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?