A client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?
Assessing the client's blood pressure and heart rate.
Obtaining a detailed history of the client's diet and eating habits.
Evaluating the client's range of motion and joint flexibility.
Monitoring the client's oxygen saturation and respiratory rate.
The Correct Answer is A
Choice A reason:
This statement is correct. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.
Choice B reason:
Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.
Choice C reason:
Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.
Choice D reason:
Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This statement is not accurate. Small incisions from laparoscopic hernia repair will heal, but they may leave small scars at the incision sites.
Choice B reason:
This statement is correct. Clients who undergo laparoscopic hernia repair may notice small scars at the incision sites, but these scars tend to fade over time.
Choice C reason:
While surgeons use special techniques to close laparoscopic incisions, it is unlikely that there will be no scars at all. Small scars are a normal outcome of this type of surgery.
Choice D reason:
Applying vitamin E oil to the incision sites may be helpful for some individuals, but it is not a guaranteed method to prevent scarring. Scarring is a natural part of the healing process after surgery.
Correct Answer is B
Explanation
Choice A reason:
This statement is incorrect. Femoral hernias are more common in women, not men. The anatomy of the female pelvis makes them more susceptible to femoral hernias.
Choice B reason:
This statement is correct. Chronic coughing and obesity can increase intra-abdominal pressure and contribute to the development of femoral hernias.
Choice C reason:
This statement describes the cause of an umbilical hernia in infants, not a femoral hernia. Femoral hernias are more common in adult women.
Choice D reason:
Wearing tight clothing can actually increase the risk of femoral hernias by putting additional pressure on the abdominal area. Loose, comfortable clothing is recommended to reduce the risk of hernia development.
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