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?
A small, reducible lump that is painless to the touch
Severe abdominal pain and distention with vomiting
Mild discomfort that improves with rest and analgesics
Occasional burning sensation and acid reflux after meals
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
This statement is incorrect. Engaging in regular physical activity and exercise can actually reduce the risk of hernias by promoting stronger abdominal muscles and overall health.
Choice B reason:
This statement is incorrect. Being underweight and having a low BMI may increase the risk of hernias as there may be reduced muscle mass and weaker tissues.
Choice C reason:
This statement is correct. Having a family history of hernias and weak connective tissues are significant risk factors for developing hernias.
Choice D reason:
This statement is incorrect. Wearing tight clothing and heavy lifting can increase intra-abdominal pressure and contribute to the development of hernias.
Correct Answer is B
Explanation
Choice A reason:
Increased risk of developing gallstones is not a complication related to femoral hernia repair. Gallstones are unrelated to hernia surgery.
Choice B reason:
This statement is correct. The potential for recurrent hernia formation after the surgical repair is a complication that the nurse should discuss with the client. Recurrence can happen in some cases, and the client needs to be aware of this possibility.
Choice C reason:
Changes in vocal cord function are not related to femoral hernia repair. This complication is not relevant to hernia surgery.
Choice D reason:
Development of skin rashes and allergic reactions postoperatively are not typical complications of femoral hernia repair. These complications may occur in response to medications or dressings, but they are not directly related to the hernia surgery.
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