A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac
b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum
c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall
d. Ventral hernia - Results from inadequate healing of an incision
e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
ANS: C, D, E
A direct inguinal hernia occurs when a peritoneum sac passes through a weak point in the abdominal wall. A ventral hernia results from inadequate healing of an incision. An incarcerated hernia cannot be reduced or placed back into the abdominal cavity. An indirect inguinal hernia is a sac formed from the peritoneum that contains a portion of the intestine and pushes downward at an angle into the inguinal canal. An indirect inguinal hernia often descends into the scrotum. A femoral hernia protrudes through the femoral ring and, as the clot enlarges, pulls the peritoneum and often the urinary bladder into the sac.
You might also like to view...
The nurse is caring for a patient in acute respiratory failure and understands that the patient should be positioned: (Select all that apply.)
a. high Fowler's. b. side lying with head of bed elevated. c. sitting in a chair. d. supine with the bed flat.
The American Society of Anesthesiologists' guidelines suggest which of the following intakes is permissible for healthy individuals undergoing elective procedures?
1. White grape juice until 2 hours before the procedure 2. Breast milk until 2 hours before scheduled surgery 3. Infant formula 4 hours before an elective procedure begins 4. Meal containing roast chicken 6 hours before scheduled surgery
Which action by a nurse is appropriate when preparing a child for a procedure?
a. Discourage the child from crying during the procedure. b. Use professional terms so the child will un-derstand what is happening. c. Give the child choices whenever possible. d. Discourage the parents from staying in the room during the procedure.
Participant observers usually select events to observe through different positions. What is observing from a fixed location called?
A) Fixed B) Single C) Multiple D) Mobile