A 40-year-old man states that his physician told him that he has a hernia. He asks the nurse to explain what a hernia is. Which response by the nurse is appropriate?
a. "No need to worry. Most men your age develop hernias."
b. "A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles."
c. "A hernia is the result of prenatal growth abnormalities that are just now causing problems."
d. "I'll have to have your physician explain this to you."
ANS: B
The nurse should explain that a hernia is a protrusion of the abdominal viscera through an abnormal opening in the muscle wall.
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The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?
1. Acute otitis media. 2. Recent trauma. 3. Blocked Eustachian tubes. 4. History of frequent middle ear infections.
The nurse is caring for an older adult client who is weak and has not been eating due to lack of strength. Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?
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