1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct the client to: a.Take a deep breath and hold for a moment b.Bear down or cough out c.Flex the hips and knee d.Exhale forcibly and hold for a moment 2. A client has just had an inguinal herniorrhaphy. Which of the following instructions would be MOST appropriate to include in his discharge plan? a.Maintain a high Fowler’s position while resting. b.Turning, coughing and deep breathing every 2 hours. c.Applying a truss before the client ambulates. d.Applying an ice bag to the scrotum. 3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he will be treated medically. This treatment will MOST likely include which of the following? a.A high fiber diet. b.A drink of one glass of water with each meal. c.A daily laxative regimen d.A well-balanced diet with cooked vegetables and fruits.
1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct
the client to:
a.Take a deep breath and hold for a moment
b.Bear down or cough out
c.Flex the hips and knee
d.Exhale forcibly and hold for a moment
2. A client has just had an inguinal herniorrhaphy. Which of the following instructions
would be MOST appropriate to include in his discharge plan?
a.Maintain a high Fowler’s position while resting.
b.Turning, coughing and deep breathing every 2 hours.
c.Applying a truss before the client ambulates.
d.Applying an ice bag to the scrotum.
3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal
bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he
will be treated medically. This treatment will MOST likely include which of the
following?
a.A high fiber diet.
b.A drink of one glass of water with each meal.
c.A daily laxative regimen
d.A well-balanced diet with cooked vegetables and fruits.
4. A patient who is scheduled for repair of inguinal hernia has a history of obesity,
smoker’s cough and heavy lifting following a previous inguinal repair. Based on the
history, the MOST likely cause for the herniation is:
a.Obesity
b.Intestinal obstruction
c.Failure of resected muscles in previous operations to heal properly
d.Chronic cough and heavy lifting
5. Warm sitz bath is prescribed three or four times a day after hemorrhoidectomy.
Implementation should be delayed until at least 12 hours postoperatively to avoid
inducing:
a.Constipation
b.Hemorrhage
c.Rectal spasm
d.Urinary retention
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