A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

Have the client lift their legs while lying on their back.

Palpate the abdomen for any tender areas or masses.

Auscultate for bowel sounds in all quadrants of the abdomen.

Ask the client to take a deep breath and palpate the upper abdomen.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Having the client lift their legs while lying on their back is not a maneuver used to assess for a hiatal hernia. This position is more commonly used to assess for inguinal or femoral hernias in the groin area.

Choice B reason:

Palpating the abdomen for tender areas or masses is a general abdominal assessment and may not specifically assess for a hiatal hernia.

Choice C reason:

Auscultating for bowel sounds in all quadrants of the abdomen is also part of a general abdominal assessment and does not specifically target a hiatal hernia.

Choice D reason:

This statement is correct. Asking the client to take a deep breath and palpating the upper abdomen can help the nurse assess for a hiatal hernia. The nurse may feel for a soft bulge or protrusion in the upper abdominal area, which may indicate a hiatal hernia.

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Correct Answer is C

Explanation

Choice A reason:

While a physical examination and medical history can provide valuable information, imaging studies are often needed to visualize and confirm the presence of a hernia accurately.

Choice B reason:

Blood tests and urinalysis are not typically used to diagnose hernias. They may be ordered to assess for other conditions or rule out other possible causes of symptoms.

Choice C reason:

This statement is correct. Imaging studies such as ultrasound, CT scan, or MRI are commonly used to visualize and confirm the presence of a hernia, assess its size, location, and determine the most appropriate treatment.

Choice D reason:

A biopsy is not necessary to diagnose a hernia. A biopsy involves the removal of tissue for examination and is usually performed to assess for cancer or other abnormal growths.

A. Incisional hernia B. Umbilical hernia C. Femoral hernia D. Indirect inguinal hernia

Correct Answer is B

Explanation

Choice A reason:

Incisional hernias occur at the site of a previous surgical incision and may not change with positional changes.

Choice B reason:

This statement is correct. Umbilical hernias are characterized by a bulge or lump in the abdominal area that is more noticeable when standing or exerting pressure and may disappear when lying down.

Choice C reason:

Femoral hernias are typically located in the upper thigh and may not be affected by positional changes.

Choice D reason:

Indirect inguinal hernias may present with a bulge or lump in the inguinal area, but the lump typically does not change with positional changes.

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A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected hernia asks the nurse about the diagnostic tests that may be done to confirm the diagnosis. Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

A nurse is performing an assessment on a client with a suspected hiatal hernia. Which of the following maneuvers should the nurse use to assess for this type of hernia?

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 nurse is assessing a client with a suspected inguinal hernia. Which of the following symptoms should the nurse expect to find during the assessment?

A nurse is providing discharge instructions to a client who underwent hernia repair surgery. The client asks about the signs of wound infection and when to seek medical attention. Which of the following responses by the nurse is accurate?

A nurse is caring for a client who had a laparoscopic hernia repair. The client is concerned about the appearance of small incisions on the abdomen. Which of the following responses by the nurse is accurate?

A nurse is providing education to a client about the risk factors for inguinal hernias. Which of the following factors should the nurse include as a significant risk factor for developing this type of hernia?

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 with an umbilical hernia is concerned about the potential for hernia recurrence after surgical repair. Which of the following factors should the nurse include in the discussion with the client regarding hernia recurrence?