A nurse is providing education to a client about hernias. Which of the following statements by the client indicates a need for further teaching about hernias?
"Hernias occur when an organ pushes through a weak spot in the surrounding muscle or connective tissue."
"Hernias can be caused by heavy lifting or straining during bowel movements."
"Hernias are always visible as bulging lumps under the skin."
"Surgery is the primary treatment for most types of hernias."
The Correct Answer is C
Choice A reason:
This statement is correct. Hernias occur when an organ, such as the intestine or abdominal tissue, protrudes through a weakened area in the muscle or connective tissue.
Choice B reason:
This statement is correct. Heavy lifting, straining during bowel movements, or activities that increase intra-abdominal pressure can contribute to the development of hernias.
Choice C reason:
This statement is incorrect and indicates a need for further teaching. Not all hernias are visible as bulging lumps under the skin. Some hernias may not be externally noticeable and are diagnosed through imaging studies.
Choice D reason:
This statement is correct. Surgery is often the primary treatment for most types of hernias to repair the weakened area and prevent complications.
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Correct Answer is B
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:
This statement is correct. The nurse should inform the client that pain medications will be provided as needed to manage postoperative pain effectively.
Choice C reason:
Providing a prescription for over-the-counter pain relievers is not typical for postoperative pain management. Clients usually receive prescription pain medications after hernia surgery.
Choice D reason:
Requiring the client to tolerate the pain without any pain medication is not appropriate. Adequate pain management is essential for client comfort and recovery after surgery.
Correct Answer is C
Explanation
Choice A reason:
This statement may be accurate, but the specific weight restriction and duration of restriction will depend on the individual client's surgical procedure and the surgeon's post-operative instructions.
Choice B reason:
Resuming regular activities immediately with no restrictions is not typical after hernia surgery. Clients usually have post-operative limitations and activity restrictions to promote healing and prevent complications.
Choice C reason:
This statement is correct. After the surgery, clients with incarcerated hernias may need to stay in the hospital for a few days for observation and recovery. The healthcare team will monitor for any potential complications and ensure the client's safety during the initial recovery period.
Choice D reason:
Performing vigorous abdominal exercises immediately after hernia surgery is not recommended. Clients need to allow the surgical site to heal before starting any strenuous activities, including exercise.
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