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?
Hiatal hernia
Umbilical hernia
Incisional hernia
Inguinal hernia
The Correct Answer is D
Choice A reason:
A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm. It is not related to the groin area or influenced by coughing or heavy lifting.
Choice B reason:
An umbilical hernia occurs when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button. It is not related to the groin area or influenced by coughing or heavy lifting.
Choice C reason:
An incisional hernia occurs at the site of a previous surgical incision where the abdominal muscles have weakened. It is not related to the groin area or influenced by coughing or heavy lifting.
Choice D reason:
This statement is correct. An inguinal hernia is a type of hernia that occurs in the groin area and is characterized by a painful bulge that becomes more prominent during activities such as coughing or lifting heavy objects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.
Choice B reason:
Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.
Choice C reason:
Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.
Choice D reason:
Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.
Correct Answer is B
Explanation
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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