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."

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason:

Mild discomfort and a reducible bulge in the hernia site may be present in some clients with hernias. While it is important to assess the hernia, these symptoms are not indicative of an incarcerated hernia.

Choice B reason:

This statement is correct. An incarcerated hernia occurs when the herniated tissue becomes trapped and cannot be reduced back into the abdominal cavity. It can lead to severe pain, nausea, and vomiting and requires immediate medical attention.

Choice C reason:

An occasional burning sensation after meals is not directly related to an incarcerated hernia. This symptom may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

Choice D reason:

A palpable lump that disappears when lying down is characteristic of a reducible hernia, not an incarcerated hernia. An incarcerated hernia cannot be manually reduced and may be associated with severe pain and other symptoms.

A. "Femoral hernias are more common in men due to differences in pelvic anatomy." B. "Chronic coughing and obesity can increase the risk of developing femoral hernias." C. "Femoral hernias are typically seen in infants and are related to abdominal muscle weakness." D. "Wearing tight clothing can help prevent the development of femoral hernias."

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Correct Answer is B

Explanation

A client has been diagnosed with a femoral hernia and asks the nurse about the potential risk factors for developing this type of hernia. Which of the following risk factors should the nurse include in the client's education?

Correct Answer is B

Explanation

A client with suspected hernia asks the nurse about the diagnostic tests that may be done to confirm the diagnosis. Which of the following responses by the nurse is accurate?

A client with an incarcerated hernia is scheduled for surgical repair. The client asks the nurse about the recovery period and potential restrictions after the surgery. Which of the following responses by the nurse is accurate?

A client with an inguinal hernia reports experiencing a painful bulge in the groin area that becomes more prominent when coughing or lifting heavy objects. Which of the following types of hernias is the client likely experiencing?

A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

A client asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?

A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

A client with a hernia asks the nurse about the potential risk factors for developing this condition. Which of the following risk factors should the nurse include in the client's education?

A nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?