Author Question: A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly ... (Read 118 times)

CharlieWard · **on:** Jun 25, 2018

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

Question 2

A nurse cares for a client who has been diagnosed with a small bowel obstruction. Which assessment findings should the nurse correlate with this diagnosis? (Select all that apply.)

a. Serum potassium of 2.8 mEq/L
b. Loss of 15 pounds without dieting
c. Abdominal pain in upper quadrants
d. Low-pitched bowel sounds
e. Serum sodium of 121 mEq/L

heyhey123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A, C, E
Small bowel obstructions often lead to severe fluid and electrolyte imbalances. The client is hypokalemic (normal range is 3.5 to 5.0 mEq/L) and hyponatremic (normal range is 136 to 145 mEq/L). Abdominal pain across the upper quadrants is associated with small bowel obstruction. Dramatic weight loss without dieting followed by bowel obstruction leads to the probable development of colon cancer. High-pitched sounds may be noted with small bowel obstructions.