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 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.
Correct Answer is B
Explanation
Choice A reason:
Increased risk of developing gallstones is not a complication related to femoral hernia repair. Gallstones are unrelated to hernia surgery.
Choice B reason:
This statement is correct. The potential for recurrent hernia formation after the surgical repair is a complication that the nurse should discuss with the client. Recurrence can happen in some cases, and the client needs to be aware of this possibility.
Choice C reason:
Changes in vocal cord function are not related to femoral hernia repair. This complication is not relevant to hernia surgery.
Choice D reason:
Development of skin rashes and allergic reactions postoperatively are not typical complications of femoral hernia repair. These complications may occur in response to medications or dressings, but they are not directly related to the hernia surgery.
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