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 physical examination and medical history are usually sufficient to diagnose a hernia."

"Blood tests and urinalysis are commonly used to confirm the presence of a hernia."

"Imaging studies such as ultrasound, CT scan, or MRI may be ordered to visualize the hernia."

"A biopsy of the herniated tissue is necessary to confirm the diagnosis of a hernia."

Answer and Explanation

The Correct Answer is C

Choice A reason:

While a physical examination and medical history can provide valuable information, imaging studies are often needed to visualize and confirm the presence of a hernia accurately.

Choice B reason:

Blood tests and urinalysis are not typically used to diagnose hernias. They may be ordered to assess for other conditions or rule out other possible causes of symptoms.

Choice C reason:

This statement is correct. Imaging studies such as ultrasound, CT scan, or MRI are commonly used to visualize and confirm the presence of a hernia, assess its size, location, and determine the most appropriate treatment.

Choice D reason:

A biopsy is not necessary to diagnose a hernia. A biopsy involves the removal of tissue for examination and is usually performed to assess for cancer or other abnormal growths.

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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.

A. "Being male and having a history of chronic constipation." B. "Having a sedentary lifestyle and avoiding physical activity." C. "Being pregnant or obese." D. "Having a family history of hernias and weak abdominal muscles."

Correct Answer is C

Explanation

Choice A reason:

Being male and having a history of chronic constipation may increase the risk of other types of hernias, but they are not significant risk factors for femoral hernias.

Choice B reason:

Having a sedentary lifestyle and avoiding physical activity can increase the risk of hernias in general, but they are not specific to femoral hernias.

Choice C reason:

This statement is correct. Being pregnant or obese are significant risk factors for developing femoral hernias due to increased intra-abdominal pressure and weakened tissues.

Choice D reason:

Having a family history of hernias and weak abdominal muscles may be risk factors for hernias in general, but they are not specific to femoral hernias.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client asks the nurse about the potential risk factors for developing femoral hernias. Which of the following factors should the nurse include in the client's education?

Correct Answer is C

Explanation

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