Upon examining a child, the nurse found a bulge or swelling in the groin and suspected an inguinal hernia. Which of the following tests will the nurse use to verify that this is a hernia?
a. "Strain or push down as if you were trying hard to pee or poop."
b. "Take as deep a breath as you can, and hold it as long as you can."
c. "Stand up and jump up and down several times."
d. "Lie down with your knees bent, and try to bring them up to your tummy."
A
Feedback
A Correct. Finding a bulge or swelling in the groin and suspecting an inguinal hernia, the nurse will ask the child to increase intra-abdominal pressure to confirm her suspicions. This may be accomplished by asking the child to: "Strain or push down as if you were trying hard to pee or poop."
B Incorrect. Finding a bulge or swelling in the groin and suspecting an inguinal hernia, the nurse will not ask the child to: "Take as deep a breath as you can, and hold it as long as you can."
C Incorrect. Finding a bulge or swelling in the groin and suspecting an inguinal hernia, the nurse will not ask the child to: "Stand up and jump up and down several times."
D Incorrect. Finding a bulge or swelling in the groin and suspecting an inguinal hernia, the nurse will not ask the child to: "Lie down with your knees bent, and try to bring them up to your tummy."
You might also like to view...
Which of the following would the nurse identify as a factor that alters drug response in children and infants? Select all that apply
A) Slower gastric emptying B) Greater surface area C) Less protein binding D) Decreased body water content E) Less cutaneous fat
The nurse understands that all soft tissue injuries require the nurse to assist with or instruct about: (Select all that apply.)
a. bed rest. b. pain control. c. immobilization. d. activity restrictions. e. prevention of recurrence.
The client with epilepsy asks the nurse if he will have to take antispasmodic medication for the rest of his life. The nurse's most helpful response would be
a. "Maybe. You might be able to stop medication if you are seizure free for 2 years." b. "No. After a stable pattern is recognized, you can take it sporadically." c. "Yes. Epilepsy requires compliance to a regimen of lifelong medication." d. "Yes. Stopping a med after you take it a while makes seizure activity worse."
A nurse is caring for an elderly patient in the home. He concludes that the patient needs an x-ray to determine if the patient has pneumonia and requires oxygen for shortness of breath
He calls to inform the physician of the patient's status and then makes arrangements to carry out the physician's orders. In this scenario, what role does the nurse play? A) Case manager B) Nurse practitioner C) Clinical nurse specialist D) Advanced practitioner