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Inguinal hernia: A battle of the bulge

doi: 10.1097/01.NURSE.0000522114.48045.af
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INSTRUCTIONS Inguinal hernia: A battle of the bulge

TEST INSTRUCTIONS

  • To take the test online, go to our secure website at www.nursingcenter.com/ce/nursing.
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 36. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $12.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results.
  • Registration deadline is August 31, 2019.
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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing2017 journal, will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.

Your certificate is valid in all states.

Inguinal hernia: A battle of the bulge

GENERAL PURPOSE: To provide information about the care of patients with IH. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Outline diagnostic criteria for IH. 2. List surgical options for patients with IH. 3. Identify pre- and postoperative nursing considerations for patients with IH.

  1. Which statement is accurate concerning the risk of IH?
    1. The risk decreases after age 50.
    2. Most IHs occur in men.
    3. The lifetime risk for IH is approximately 27% for women.
  2. The most common type of groin hernia occurs when abdominal tissue protrudes
    1. through a defect in the femoral ring.
    2. into the internal inguinal ring and inguinal canal.
    3. through the posterior inguinal wall.
  3. Which population is at greatest risk for femoral hernias?
    1. older multiparous women
    2. males in their 60s
    3. obese adults
  4. Why is cigarette smoking a risk factor for IH?
    1. It's associated with a low BMI.
    2. It can damage connective tissue in the groin.
    3. It promotes autoimmune disease.
  5. The pain associated with IH is typically
    1. bilateral.
    2. sudden in onset.
    3. exacerbated by common activities.
  6. Severe groin pain suggests
    1. an indirect IH.
    2. a direct IH.
    3. strangulation.
  7. Patients with a reducible inguinal bulge
    1. usually require no further diagnostic exploration.
    2. should undergo dynamic ultrasound to measure the size of the defect.
    3. will have a positive peritoneography study.
  8. In an asymptomatic patient, which approach may prevent the need for surgery?
    1. weight lifting exercises
    2. increased general activity level
    3. core strengthening exercises
  9. Compared with elective surgery, emergency surgical IH repair is associated with
    1. a lower incidence of IH recurrence.
    2. decreased morbidity.
    3. increased complications.
  10. Which statement is accurate about the use of trusses to manage IH?
    1. They're commonly used in women.
    2. When used inappropriately, they may complicate surgical repair.
    3. Their efficacy is strongly supported by research.
  11. Which statement is accurate about groin hernias in women?
    1. Surgical repair is generally indicated for nonpregnant women.
    2. Groin hernias are common in women.
    3. Serious hernia complications are less common in women compared with men.
  12. The main goal of mesh repair is to
    1. strengthen the fascia and abdominal wall.
    2. make exercise more comfortable for active patients.
    3. prevent host tissue in-growth.
  13. Severe vascular complications are more common following which type of IH repair?
    1. laparoscopic
    2. OS
    3. OM
  14. Long-term risks following any type of surgical repair include
    1. deep infections.
    2. IH recurrence.
    3. wound dehiscence.
  15. A significantly increased risk for hemorrhage within 30 days after IH surgery has been associated with
    1. younger age.
    2. female gender.
    3. occlusive peripheral arterial disease.
  16. Postoperative use of clonidine may
    1. prevent muscle spasms.
    2. have a beneficial laxative effect.
    3. reduce the need for opioid analgesics.
  17. The nurse should advise the postoperative patient to do all except
    1. splint the incision while coughing or sneezing.
    2. immediately report any mild bruising near the incision.
    3. take a stool softener and gentle laxative as directed.
  18. Which activity instruction applies postoperatively?
    1. no driving for 2 weeks
    2. no lifting over 10 lb until cleared
    3. avoid straining
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