A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Mild discomfort and a reducible bulge in the hernia site

Severe pain, nausea, and vomiting

Occasional burning sensation after meals

A palpable lump that disappears when lying down

Answer and Explanation

The Correct Answer is B

Choice A reason:

Mild discomfort and a reducible bulge in the hernia site may be present in some clients with hernias. While it is important to assess the hernia, these symptoms are not indicative of an incarcerated hernia.

Choice B reason:

This statement is correct. An incarcerated hernia occurs when the herniated tissue becomes trapped and cannot be reduced back into the abdominal cavity. It can lead to severe pain, nausea, and vomiting and requires immediate medical attention.

Choice C reason:

An occasional burning sensation after meals is not directly related to an incarcerated hernia. This symptom may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

Choice D reason:

A palpable lump that disappears when lying down is characteristic of a reducible hernia, not an incarcerated hernia. An incarcerated hernia cannot be manually reduced and may be associated with severe pain and other symptoms.

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Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Being physically active and engaging in regular exercise can actually reduce the risk of hernias by strengthening the abdominal muscles and connective tissue.

Choice B reason:

This statement is incorrect. Having a high BMI is a risk factor for developing hernias. Excess weight can increase intra-abdominal pressure and weaken the abdominal muscles, making hernia development more likely.

Choice C reason:

This statement is correct. Smoking and chronic coughing can contribute to the development of hernias by putting increased pressure on the abdominal muscles and weakening the tissue.

Choice D reason:

This statement is incorrect. Family history can play a role in hernia development, as genetics can influence the strength of the abdominal muscles and connective tissue.

A. "The ultrasound will help determine if you have a bacterial infection in the hernia." B. "The ultrasound will provide detailed images to confirm the presence and location of the hernia." C. "The ultrasound will assess the blood flow to the hernia and determine the severity." D. "The ultrasound will measure your lung capacity and assess for any breathing difficulties related to the hernia."

Correct Answer is B

Explanation

Choice A reason:

An ultrasound is not used to determine bacterial infections. It is primarily used for imaging soft tissues and organs.

Choice B reason:

This statement is correct. An ultrasound provides detailed images and is commonly used to confirm the presence and location of hernias.

Choice C reason:

An ultrasound is not typically used to assess blood flow to hernias. This type of assessment may be done using Doppler ultrasound or other imaging studies.

Choice D reason:

An ultrasound is not used to measure lung capacity or assess breathing difficulties related to hernias. It is used to visualize soft tissues and organs.

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A nurse is caring for a client with an incarcerated hernia. Which of the following signs or symptoms should the nurse monitor for and report to the healthcare provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a hernia asks the nurse about the potential risk factors for developing this condition. Which of the following risk factors should the nurse include in the client's education?

Correct Answer is C

Explanation

A client with a suspected hernia is being prepared for an ultrasound examination. The client asks the nurse about the purpose of this test. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

A client with an inguinal hernia reports experiencing a painful bulge in the groin area that becomes more prominent when coughing or lifting heavy objects. Which of the following types of hernias is the client likely experiencing?

A client with an incarcerated hernia is scheduled for surgical repair. The client asks the nurse about the recovery period and potential restrictions after the surgery. Which of the following responses by the nurse is accurate?

A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

A client with an inguinal hernia is scheduled for surgical repair. The client asks the nurse about postoperative pain management. Which of the following statements by the nurse is accurate?

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?

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?

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?