Author Question: A patient is being seen for a sudden lump in the groin after lifting a heavy box to a shelf. The ... (Read 18 times)

EAugust · **on:** Jun 25, 2018

A patient is being seen for a sudden lump in the groin after lifting a heavy box to a shelf. The nurse realizes that this patient might be experiencing which health problem?

1. an indirect inguinal hernia
2. a direct inguinal hernia
3. a femoral hernia
4. an incisional hernia

Question 2

A patient learns that a small bowel obstruction was caused by an appendectomy five years ago. The nurse realizes that this obstruction was most likely caused by what health problem?

1. an untreated infection of the appendix
2. adhesions
3. undiagnosed femoral hernia
4. umbilical hernia

aprice35067 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Indirect inguinal hernias are caused by improper closure of the tract that develops as the testes descend into the scrotum before birth. A sac of abdominal contents protrudes through the internal inguinal ring into the inguinal canal. It often descends into the scrotum. Although indirect inguinal hernias are congenital defects, they often are not evident until adulthood, when increased intra-abdominal pressure and dilation of the inguinal ring allow abdominal contents to enter the channel. Direct inguinal hernias are acquired defects that result from weakness of the posterior inguinal wall and a palpable mass may be present in the groin. Direct inguinal hernias usually affect older adults. Femoral hernias are also acquired defects in which a peritoneal sac protrudes through the femoral ring. Inadequate information is provided to support the presence of an incisional hernia.

Answer to Question 2

Correct Answer: 2
In adults, adhesions develop following abdominal surgery or inflammatory processes. Adhesions usually produce a simple obstruction or single blockage in one portion of the intestine. An untreated infection would have resulted in peritonitis. There is inadequate information provided to support femoral or umbilical hernias.