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A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

Incisional hernia

Umbilical hernia

Femoral hernia

Indirect inguinal hernia

Answer and Explanation

The Correct Answer is B

Choice A reason:

Incisional hernias occur at the site of a previous surgical incision and may not change with positional changes.

Choice B reason:

This statement is correct. Umbilical hernias are characterized by a bulge or lump in the abdominal area that is more noticeable when standing or exerting pressure and may disappear when lying down.

Choice C reason:

Femoral hernias are typically located in the upper thigh and may not be affected by positional changes.

Choice D reason:

Indirect inguinal hernias may present with a bulge or lump in the inguinal area, but the lump typically does not change with positional changes.

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Correct Answer is C

Explanation

Choice A reason:

Hernia repair surgery, like any surgical procedure, carries potential risks and complications, and it is not entirely risk-free.

Choice B reason:

While complications during hernia repair surgery are relatively infrequent, they are not extremely rare and can occur in certain cases.

Choice C reason:

This statement is correct. While hernia repair surgery is generally safe, there are potential risks and complications, such as infection, bleeding, or recurrence of the hernia. It is essential for the client to be aware of the potential risks and discuss any concerns with the healthcare provider.

Choice D reason:

Complications during hernia repair surgery are not common, and they should not be expected as a routine outcome. While some minor complications may occur, the overall goal is to minimize the risk of complications and provide safe and effective surgical care.

A. "An abdominal X-ray is routinely performed to diagnose inguinal hernias." B. "A barium swallow test is commonly used to confirm the presence of an inguinal hernia." C. "A diagnostic laparoscopy may be ordered to visualize the hernia more clearly." D. "An electrocardiogram (ECG) is necessary to rule out cardiac issues related to hernias."

Correct Answer is C

Explanation

Choice A reason:

An abdominal X-ray is not routinely used to diagnose inguinal hernias. It is more commonly used to assess for other conditions involving the abdominal organs.

Choice B reason:

A barium swallow test is not used to diagnose inguinal hernias. It is typically used to evaluate the upper gastrointestinal tract.

Choice C reason:

This statement is correct. A diagnostic laparoscopy is a minimally invasive procedure in which a small camera is inserted into the abdominal cavity to visualize the hernia more clearly and may be ordered for certain cases of inguinal hernia.

Choice D reason:

An ECG is not necessary to diagnose or rule out inguinal hernias. It is used to assess heart function and rhythm.

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A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is undergoing preoperative education before hernia repair surgery. The client asks the nurse about the risk of complications during and after the procedure. Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is caring for a client with a suspected inguinal hernia. The client asks about the potential need for additional diagnostic tests. Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

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?

A client with an umbilical hernia is concerned about the potential for hernia recurrence after surgical repair. Which of the following factors should the nurse include in the discussion with the client regarding hernia recurrence?

A client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

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?

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?

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 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?

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?