A client has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?
"An incisional hernia is caused by a weakness in the groin area due to heavy lifting."
"An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened."
"Incisional hernias are usually caused by a protrusion of the stomach through the diaphragm."
"This type of hernia is typically seen in infants and occurs around the umbilical area."
The Correct Answer is B
Choice A reason:
This statement describes the cause of an inguinal hernia, not an incisional hernia. An inguinal hernia occurs in the groin area and is often associated with heavy lifting or straining.
Choice B reason:
This statement is correct. An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened. The weakness allows abdominal contents to protrude through the scar tissue.
Choice C reason:
This statement describes the cause of a hiatal hernia, not an incisional hernia. A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm.
Choice D reason:
This statement describes the cause of an umbilical hernia, not an incisional hernia. An umbilical hernia occurs near the belly button and is more common in infants.
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Naxlex Comprehensive Predictor Exams
Related Questions
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 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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