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."

Answer and Explanation

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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Correct Answer is D

Explanation

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.

A. A small, reducible lump that is painless to the touch B. Severe abdominal pain and distention with vomiting C. Mild discomfort that improves with rest and analgesics D. Occasional burning sensation and acid reflux after meals

Correct Answer is B

Explanation

Choice A reason:

A small, reducible lump that is painless to the touch is consistent with some types of hernias and may not be a cause for immediate concern. However, the healthcare provider should still be notified for further evaluation.

Choice B reason:

This statement is correct. Severe abdominal pain and distention with vomiting may indicate a complication of a hernia, such as bowel obstruction or strangulation, which requires immediate medical attention.

Choice C reason:

Mild discomfort that improves with rest and analgesics may be typical for some individuals with hernias. However, it is still essential to report any changes in symptoms to the healthcare provider.

Choice D reason:

Occasional burning sensation and acid reflux after meals are not directly related to hernias. These symptoms may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

A client comes to the emergency department with severe pain and tenderness in the groin area. The nurse suspects an incarcerated hernia. Which of the following assessments should the nurse prioritize?

A client with a femoral hernia is considering surgical repair. The client expresses concerns about potential complications of the procedure. Which of the following complications should the nurse discuss with the client?

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 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?

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?

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?

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 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?