Author Question: A nurse plans care for a client who is recovering from an inguinal hernia repair. Which ... (Read 49 times)

audie · **on:** Jun 25, 2018

A nurse plans care for a client who is recovering from an inguinal hernia repair. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

a. Encouraging ambulation three times a day
b. Encouraging normal urination
c. Encouraging deep breathing and coughing
d. Providing ice bags and scrotal support
e. Forcibly reducing the hernia

Question 2

A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the nurse include in this client's assessment? (Select all that apply.)

a. Which food types cause an exacerbation of symptoms?
b. Where is your pain and what does it feel like?
c. Have you lost a significant amount of weight lately?
d. Are your stools soft, watery, and black in color?
e. Do you experience nausea associated with defecation?

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

Answer to Question 1

ANS: A, B, D
Postoperative care for clients with an inguinal hernia includes all general postoperative care except coughing. The nurse should promote lung expansion by encouraging deep breathing and ambulation. The nurse should encourage normal urination, including allowing the client to stand, and should provide scrotal support and ice bags to prevent swelling. A hernia should never be forcibly reduced, and this procedure is not part of postoperative care.

Answer to Question 2

ANS: A, B, E
The nurse should ask the client about factors that may cause exacerbations of symptoms, including food, stress, and anxiety. The nurse should also assess the location, intensity, and quality of the client's pain, and nausea associated with defecation or meals. Clients who have IBS do not usually lose weight and stools are not black in color.