A nurse is caring for a client who had a laparoscopic hernia repair. The client is concerned about the appearance of small incisions on the abdomen. Which of the following responses by the nurse is accurate?

"The small incisions will heal without any scarring or visible marks."

"You may notice small scars at the incision sites, but they will fade over time."

"The surgeon used special techniques to close the incisions, and there will be no scars."

"You can apply vitamin E oil to the incision sites to prevent scarring."

Answer and Explanation

The Correct Answer is B

Choice A reason:

This statement is not accurate. Small incisions from laparoscopic hernia repair will heal, but they may leave small scars at the incision sites.

Choice B reason:

This statement is correct. Clients who undergo laparoscopic hernia repair may notice small scars at the incision sites, but these scars tend to fade over time.

Choice C reason:

While surgeons use special techniques to close laparoscopic incisions, it is unlikely that there will be no scars at all. Small scars are a normal outcome of this type of surgery.

Choice D reason:

Applying vitamin E oil to the incision sites may be helpful for some individuals, but it is not a guaranteed method to prevent scarring. Scarring is a natural part of the healing process after surgery.

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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.

A. Have the client lift their legs while lying on their back. B. Palpate the abdomen for any tender areas or masses. C. Auscultate for bowel sounds in all quadrants of the abdomen. D. Ask the client to take a deep breath and palpate the upper abdomen.

Correct Answer is D

Explanation

Choice A reason:

Having the client lift their legs while lying on their back is not a maneuver used to assess for a hiatal hernia. This position is more commonly used to assess for inguinal or femoral hernias in the groin area.

Choice B reason:

Palpating the abdomen for tender areas or masses is a general abdominal assessment and may not specifically assess for a hiatal hernia.

Choice C reason:

Auscultating for bowel sounds in all quadrants of the abdomen is also part of a general abdominal assessment and does not specifically target a hiatal hernia.

Choice D reason:

This statement is correct. Asking the client to take a deep breath and palpating the upper abdomen can help the nurse assess for a hiatal hernia. The nurse may feel for a soft bulge or protrusion in the upper abdominal area, which may indicate a hiatal hernia.

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A nurse is caring for a client who had a laparoscopic hernia repair. The client is concerned about the appearance of small incisions on the abdomen. Which of the following responses by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

Correct Answer is D

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?

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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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A client has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?

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