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:

Ultrasound may be used to assess some types of hernias, but it is not the most commonly used imaging study for assessing incisional hernias.

Choice B reason:

MRI (Magnetic Resonance Imaging) provides detailed images and may be used for assessing hernias, but it is not the most commonly used imaging study for incisional hernias.

Choice C reason:

This statement is correct. A CT (Computed Tomography) scan is most commonly used to assess incisional hernias as it provides detailed cross-sectional images of the abdominal wall and herniated tissues.

Choice D reason:

X-rays are not typically used to assess incisional hernias. X-rays provide limited information on soft tissues and are more commonly used for bone-related assessments.

A. Palpation of the abdominal area B. Auscultation of bowel sounds C. Inspection of the oral cavity D. Percussion of the lung fields

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Palpation of the abdominal area is specifically used to assess for umbilical hernias. The nurse will feel for a bulge or protrusion around the umbilical region when the client coughs or strains.

Choice B reason:

Auscultation of bowel sounds is a general assessment technique used to listen to the bowel sounds in the abdomen and is not specific to umbilical hernias.

Choice C reason:

Inspection of the oral cavity is not relevant to assessing for umbilical hernias. It is used for oral and dental examinations.

Choice D reason:

Percussion of the lung fields is not relevant to assessing for umbilical hernias. It is used to assess the lungs for abnormalities.

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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 nurse is caring for a client with a suspected incisional hernia. The nurse is preparing the client for an imaging study to confirm the diagnosis. Which of the following imaging studies is most commonly used for assessing incisional hernias?

Correct Answer is C

Explanation

A nurse is assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?

Correct Answer is A

Explanation

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 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?

A client has been diagnosed with a femoral hernia and asks the nurse about the potential risk factors for developing this type of hernia. Which of the following risk factors should the nurse include in the client's education?

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