A nurse is caring for a client with a suspected inguinal hernia. The client asks about the potential need for additional diagnostic tests. Which of the following responses by the nurse is accurate?

Choice A reason:

This statement is incorrect. Femoral hernias are more common in women, not men. The anatomy of the female pelvis makes them more susceptible to femoral hernias.

Choice B reason:

This statement is correct. Chronic coughing and obesity can increase intra-abdominal pressure and contribute to the development of femoral hernias.

Choice C reason:

This statement describes the cause of an umbilical hernia in infants, not a femoral hernia. Femoral hernias are more common in adult women.

Choice D reason:

Wearing tight clothing can actually increase the risk of femoral hernias by putting additional pressure on the abdominal area. Loose, comfortable clothing is recommended to reduce the risk of hernia development.

Choice A reason:

This statement is correct. Assessing the client's blood pressure and heart rate is a priority in a client with an incarcerated hernia as it can indicate signs of compromised blood flow to the herniated tissue and potential strangulation.

Choice B reason:

Obtaining a detailed history of the client's diet and eating habits may be important for certain conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.

Choice C reason:

Evaluating the client's range of motion and joint flexibility may be relevant for musculoskeletal assessments, but it is not a priority in a client with a suspected incarcerated hernia.

Choice D reason:

Monitoring the client's oxygen saturation and respiratory rate may be important in various conditions, but it is not a priority assessment in a client with a suspected incarcerated hernia.