A nurse is providing education to a client about hernias. Which of the following statements by the client indicates a need for further teaching about hernias?
"Hernias occur when an organ pushes through a weak spot in the surrounding muscle or connective tissue."
"Hernias can be caused by heavy lifting or straining during bowel movements."
"Hernias are always visible as bulging lumps under the skin."
"Surgery is the primary treatment for most types of hernias."
The Correct Answer is C
Choice A reason:
This statement is correct. Hernias occur when an organ, such as the intestine or abdominal tissue, protrudes through a weakened area in the muscle or connective tissue.
Choice B reason:
This statement is correct. Heavy lifting, straining during bowel movements, or activities that increase intra-abdominal pressure can contribute to the development of hernias.
Choice C reason:
This statement is incorrect and indicates a need for further teaching. Not all hernias are visible as bulging lumps under the skin. Some hernias may not be externally noticeable and are diagnosed through imaging studies.
Choice D reason:
This statement is correct. Surgery is often the primary treatment for most types of hernias to repair the weakened area and prevent complications.
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Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. While some redness and swelling are normal after surgery, a fever or drainage from the wound may indicate an infection and require medical attention.
Choice B reason:
Wound infection is not common after hernia surgery. It is essential to provide accurate information to the client to avoid unnecessary concerns.
Choice C reason:
While some drainage is normal after surgery, foul-smelling drainage may indicate an infection and require medical attention.
Choice D reason:
Bruising or discoloration around the incision site may be expected after surgery and does not necessarily indicate an infection.
Correct Answer is A
Explanation
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.
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