The nurse is caring for a patient with an umbilical hernia.
Which symptom should prompt the nurse to alert the healthcare provider?

Bulging at the hernia site.

Reports of mild discomfort.

A bulge that disappears when lying down.

Reports of nausea and vomiting.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While a bulge at the hernia site is a common symptom of an umbilical hernia, it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice B rationale
Mild discomfort may be associated with an umbilical hernia, but it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice C rationale
A bulge that disappears when lying down is a common characteristic of an umbilical hernia and is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice D rationale
Nausea and vomiting could indicate that the hernia has become strangulated, which is a medical emergency. Strangulation occurs when the blood supply to the herniated tissue is cut off. This is a serious complication that requires immediate medical attention.
Question 50.

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Correct Answer is B

Explanation

Choice A rationale
Ecchymosis of the extremities is not a typical finding in a patient with an obstruction and inflammation of the common bile duct due to cholelithiasis.
Choice B rationale
Fatty stools, or steatorrhea, is a common symptom in patients with cholelithiasis. This is because the obstruction in the common bile duct can prevent the flow of bile, which is necessary for the digestion and absorption of fats.
Choice C rationale

Straw-colored urine is not typically associated with cholelithiasis. Dark urine can be a symptom of this condition, as the obstruction can cause bilirubin to leak into the blood and urine.
Choice D rationale
Tenderness in the left upper abdomen is not a typical symptom of cholelithiasis. Pain associated with this condition is usually located in the right upper quadrant or the middle upper part of the abdomen.

A. The sclera B. Nail beds C. Periumbilical area D. Webbed areas of the fingers .

Correct Answer is A

Explanation

Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale

The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.

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The nurse is caring for a patient with an umbilical hernia. Which symptom should prompt the nurse to alert the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

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The nurse is caring for a patient with an umbilical hernia.
Which symptom should prompt the nurse to alert the healthcare provider?