Difficulty: Medium
Average Score: 78%
Simulated
The nurse assesses the client previously diagnosed as having an inguinal hernia. The nurse considers that the clientÔÇÖs hernia may be strangulated when which assessment findings are noted?
Correct answer
A, C, D
Rationale
Abdominal distention occurs because the bowel is obstructed when the hernia is strangulated. B. Dyspnea with exertion is not associated with strangulation of an inguinal hernia. C. Lack of blood supply from strangulation causes severe abdominal pain. D. A bowel obstruction prevents the passage of stool. E. Bowel sounds with strangulation and bowel obstruction would be hypoactive or absent, not hyperactive.