A nurse is caring for a client with a suspected incisional hernia. Which of the following factors should the nurse consider as a potential cause of this type of hernia?

"The client's history of chronic coughing and straining during bowel movements."

"The client's recent history of heavy lifting and physical exertion."

"The client's family history of hernias and weak connective tissues."

"The client's history of abdominal surgery and weakened scar tissue."

Answer and Explanation

The Correct Answer is D

Choice A reason:

The client's history of chronic coughing and straining during bowel movements may increase the risk of other types of hernias, but they are not significant risk factors for incisional hernias.

Choice B reason:

The client's recent history of heavy lifting and physical exertion can increase the risk of hernias in general, but they are not specific to incisional hernias.

Choice C reason:

The client's family history of hernias and weak connective tissues may be risk factors for hernias in general, but they are not specific to incisional hernias.

Choice D reason:

This statement is correct. Incisional hernias occur at the site of a previous surgical incision where the abdominal muscles and tissues may be weakened, leading to the protrusion of abdominal contents.

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Correct Answer is D

Explanation

Choice A reason:

This statement is correct. Umbilical hernias occur when a portion of the intestine or abdominal tissue pushes through the abdominal wall near the belly button (umbilicus).

Choice B reason:

This statement is correct. Umbilical hernias are more common in infants, as their abdominal muscles are still developing, and in pregnant women due to increased intra-abdominal pressure.

Choice C reason:

This statement is correct. Surgery is typically required to repair an umbilical hernia in adults, especially if the hernia is large, painful, or at risk of complications.

Choice D reason:

This statement is incorrect and indicates a need for further clarification. Umbilical hernias in adults can develop due to factors such as obesity, pregnancy, or chronic coughing. While avoiding heavy lifting may help prevent hernias in general, it is not the primary preventive measure for umbilical hernias.

A. "Hernias are more common in infants and young children due to weak abdominal muscles." B. "Hernias are primarily seen in older adults and the elderly due to age-related changes in connective tissues." C. "Hernias occur at the same frequency across all age groups, and age is not a significant risk factor." D. "Hernias are more common in adolescents and young adults, especially during periods of rapid growth."

Correct Answer is B

Explanation

Choice A reason:

While hernias can occur in infants and young children, they are not more common in this age group due to weak abdominal muscles. Inguinal hernias are more common in infants, but other types of hernias may have different age distributions.

Choice B reason:

This statement is correct. Hernias are primarily seen in older adults and the elderly due to age-related changes in connective tissues, such as a decrease in collagen and elastin fibers.

Choice C reason:

This statement is incorrect. Age is a significant risk factor for hernias, and they are more common in older adults.

Choice D reason:

Hernias are more common in older adults than in adolescents and young adults. Rapid growth during adolescence may increase the risk of certain types of hernias, but it is not the primary age group affected by hernias.

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A nurse is caring for a client with a suspected incisional hernia. Which of the following factors should the nurse consider as a potential cause of this type of hernia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client about different types of hernias. Which of the following statements by the client indicates a need for further clarification about umbilical hernias?

Correct Answer is D

Explanation

A client asks the nurse about the relationship between age and the development of hernias. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

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