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?
"You will need to avoid lifting anything heavier than 10 pounds for at least two weeks after the surgery."
"After the surgery, you can resume your regular activities immediately with no restrictions."
"You may need to stay in the hospital for a few days after the surgery for observation and recovery."
"You will be required to perform vigorous abdominal exercises daily to strengthen the area after the surgery."
The Correct Answer is C
Choice A reason:
This statement may be accurate, but the specific weight restriction and duration of restriction will depend on the individual client's surgical procedure and the surgeon's post-operative instructions.
Choice B reason:
Resuming regular activities immediately with no restrictions is not typical after hernia surgery. Clients usually have post-operative limitations and activity restrictions to promote healing and prevent complications.
Choice C reason:
This statement is correct. After the surgery, clients with incarcerated hernias may need to stay in the hospital for a few days for observation and recovery. The healthcare team will monitor for any potential complications and ensure the client's safety during the initial recovery period.
Choice D reason:
Performing vigorous abdominal exercises immediately after hernia surgery is not recommended. Clients need to allow the surgical site to heal before starting any strenuous activities, including exercise.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
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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