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?

"Being physically active and engaging in regular exercise can increase the risk of hernias."

"Having a high body mass index (BMI) is a protective factor against developing hernias."

"Smoking and chronic coughing can contribute to the development of hernias."

"A family history of hernias does not have any influence on an individual's risk."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is incorrect. Being physically active and engaging in regular exercise can actually reduce the risk of hernias by strengthening the abdominal muscles and connective tissue.

Choice B reason:

This statement is incorrect. Having a high BMI is a risk factor for developing hernias. Excess weight can increase intra-abdominal pressure and weaken the abdominal muscles, making hernia development more likely.

Choice C reason:

This statement is correct. Smoking and chronic coughing can contribute to the development of hernias by putting increased pressure on the abdominal muscles and weakening the tissue.

Choice D reason:

This statement is incorrect. Family history can play a role in hernia development, as genetics can influence the strength of the abdominal muscles and connective tissue.

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Correct Answer is B

Explanation

Choice A reason:

Pain and swelling in the lower abdomen are not typical symptoms of hiatal hernia. These symptoms are more characteristic of inguinal or umbilical hernias.

Choice B reason:

This statement is correct. Heartburn and regurgitation of stomach acid are common symptoms of hiatal hernia. The herniated portion of the stomach can allow stomach acid to flow back into the esophagus, leading to heartburn and regurgitation.

Choice C reason:

Dyspnea and difficulty breathing are not typical symptoms of hiatal hernia. These symptoms may be present in other respiratory or cardiovascular conditions.

Choice D reason:

Pain and tenderness around the umbilicus are not specific to hiatal hernia. These symptoms may indicate other conditions such as umbilical hernia or appendicitis.

A. A small, reducible lump that is painless to the touch B. Severe abdominal pain and distention with vomiting C. Mild discomfort that improves with rest and analgesics D. Occasional burning sensation and acid reflux after meals

Correct Answer is B

Explanation

Choice A reason:

A small, reducible lump that is painless to the touch is consistent with some types of hernias and may not be a cause for immediate concern. However, the healthcare provider should still be notified for further evaluation.

Choice B reason:

This statement is correct. Severe abdominal pain and distention with vomiting may indicate a complication of a hernia, such as bowel obstruction or strangulation, which requires immediate medical attention.

Choice C reason:

Mild discomfort that improves with rest and analgesics may be typical for some individuals with hernias. However, it is still essential to report any changes in symptoms to the healthcare provider.

Choice D reason:

Occasional burning sensation and acid reflux after meals are not directly related to hernias. These symptoms may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is assessing a client with a possible hernia. Which of the following signs or symptoms should the nurse be particularly concerned about and report to the healthcare provider?

Correct Answer is B

Explanation

A nurse is assessing a client with a suspected inguinal hernia. Which of the following symptoms should the nurse expect to find during the assessment?

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