Upon examining a child, the nurse found a bulge or swelling in ...

[yoooooman]

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.

Question 2

The original role of the school nurse was:
 
  a. identifying, educating, and following up on communicable diseases
  b. developing, teaching, and evaluating a comprehensive health curriculum
  c. home health visits to the ill child
  d. assisting the classroom teacher with hygiene teaching

[bulacsom]

Answer to Question 1

A

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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.

Answer to Question 2

A

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A Correct. The original role of the school nurse was identifying, educating, and following up on communicable diseases.
B Incorrect. The original role of the school nurse was not developing, teaching, and evaluating a comprehensive health curriculum.
C Incorrect. The original role of the school nurse was not home health visits to the ill child.
D Incorrect. The original role of the school nurse was not assisting the classroom teacher with hygiene teaching.