The nurse is caring for a patient with an umbilical hernia.
Which symptom should prompt the nurse to alert the healthcare provider?

Bulging at the hernia site.

Reports of mild discomfort.

A bulge that disappears when lying down.

Reports of nausea and vomiting.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While a bulge at the hernia site is a common symptom of an umbilical hernia, it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice B rationale
Mild discomfort may be associated with an umbilical hernia, but it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice C rationale
A bulge that disappears when lying down is a common characteristic of an umbilical hernia and is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice D rationale
Nausea and vomiting could indicate that the hernia has become strangulated, which is a medical emergency. Strangulation occurs when the blood supply to the herniated tissue is cut off. This is a serious complication that requires immediate medical attention.
Question 50.

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Correct Answer is B

Explanation

Choice A rationale
Pain located in the right lower quadrant is typically associated with conditions such as appendicitis, not diverticulitis.
Choice B rationale
Diverticulitis is often associated with cramping, constant pain in the left lower quadrant. This is because the most common site of diverticula, small bulging pouches that can form in the lining of the digestive system, is in the sigmoid and descending colon, which are located in the left lower quadrant of the abdomen.
Choice C rationale
Sudden onset of pain 2 hours ago is not typically indicative of diverticulitis. While diverticulitis pain can be sudden, it usually worsens over several days.
Choice D rationale
Diarrhea for the past 3 days is not specifically indicative of diverticulitis. While changes in bowel habits can occur with diverticulitis, it is not a defining symptom.

A. The patient needs to understand dietary modifications. B. The patient should know about medication management. C. The patient needs to be aware of signs of complications. D. The patient should understand the importance of follow-up appointments.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
After a subtotal gastrectomy, the patient’s diet will need to be modified. They will need to eat pureed foods and liquids for 3 weeks after the surgery. They may also need to use liquid nutritional supplements recommended by a healthcare provider to make sure they get enough calories.
Choice B rationale
Medication management is crucial after a subtotal gastrectomy. The patient will need to take their medicines in crushed or liquid form for 3 weeks after surgery.
Choice C rationale
Awareness of signs of complications is important for the patient after a subtotal gastrectomy. Complications can include infection, redness, swelling inside the belly (peritonitis) that can occur if the appendix bursts during surgery, blocked bowels, and injury to nearby organs.
Choice D rationale
Understanding the importance of follow-up appointments is crucial for the patient after a subtotal gastrectomy. Regular follow-ups allow the healthcare provider to monitor the patient’s recovery and address any potential issues promptly.

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The nurse is caring for a patient with an umbilical hernia. Which symptom should prompt the nurse to alert the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is gathering information from a patient with abdominal pain. Which description of pain is consistent with diverticulitis?

Correct Answer is B

Explanation

A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

Correct Answer is ["A","B","C","D"]

Explanation

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The nurse is caring for a patient with an umbilical hernia.
Which symptom should prompt the nurse to alert the healthcare provider?