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