Question

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible hernial strangulation. The nurse tells the parents that which of the following signs would require health care provider (HCP) notification by the parents?

a) Swelling at the hernia site.
b) Redness and warmth at the hernia site.
c) Pain at the hernia site.
d) Absence of bowel movements.

Answer 1

If a child with a hernia experiences redness and warmth at the hernia site, severe or worsening pain at the hernia site, or absence of bowel movements, it is important to notify the healthcare provider.

Step-by-step explanation:

If a child with a diagnosis of a hernia experiences swelling at the hernia site, it is a normal part of the condition and does not require immediate healthcare provider notification by the parents. However, if the child experiences redness and warmth at the hernia site, it could indicate infection. In this case, it would be important for the parents to notify the healthcare provider. Similarly, if the child experiences pain at the hernia site that is severe or worsening, it could indicate strangulation and immediate healthcare provider notification is necessary. Lastly, if the child has absence of bowel movements, it could be a sign of intestinal obstruction or strangulation, which requires prompt medical attention.