A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?
Pain and swelling in the lower abdomen.
Heartburn and regurgitation of stomach acid.
Dyspnea and difficulty breathing.
Pain and tenderness around the umbilicus.
The Correct Answer is B
Choice A reason:
Pain and swelling in the lower abdomen are not typical symptoms of hiatal hernia. These symptoms are more characteristic of inguinal or umbilical hernias.
Choice B reason:
This statement is correct. Heartburn and regurgitation of stomach acid are common symptoms of hiatal hernia. The herniated portion of the stomach can allow stomach acid to flow back into the esophagus, leading to heartburn and regurgitation.
Choice C reason:
Dyspnea and difficulty breathing are not typical symptoms of hiatal hernia. These symptoms may be present in other respiratory or cardiovascular conditions.
Choice D reason:
Pain and tenderness around the umbilicus are not specific to hiatal hernia. These symptoms may indicate other conditions such as umbilical hernia or appendicitis.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
An abdominal X-ray is not routinely used to diagnose inguinal hernias. It is more commonly used to assess for other conditions involving the abdominal organs.
Choice B reason:
A barium swallow test is not used to diagnose inguinal hernias. It is typically used to evaluate the upper gastrointestinal tract.
Choice C reason:
This statement is correct. A diagnostic laparoscopy is a minimally invasive procedure in which a small camera is inserted into the abdominal cavity to visualize the hernia more clearly and may be ordered for certain cases of inguinal hernia.
Choice D reason:
An ECG is not necessary to diagnose or rule out inguinal hernias. It is used to assess heart function and rhythm.
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