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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Correct Answer is C
Explanation
Choice A reason:
This statement may be accurate, but the specific weight restriction and duration of restriction will depend on the individual client's surgical procedure and the surgeon's post-operative instructions.
Choice B reason:
Resuming regular activities immediately with no restrictions is not typical after hernia surgery. Clients usually have post-operative limitations and activity restrictions to promote healing and prevent complications.
Choice C reason:
This statement is correct. After the surgery, clients with incarcerated hernias may need to stay in the hospital for a few days for observation and recovery. The healthcare team will monitor for any potential complications and ensure the client's safety during the initial recovery period.
Choice D reason:
Performing vigorous abdominal exercises immediately after hernia surgery is not recommended. Clients need to allow the surgical site to heal before starting any strenuous activities, including exercise.
Correct Answer is B
Explanation
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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