Hernias in Older Adults
About the Lecture
The lecture Hernias in Older Adults by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of the Older Adult in Primary Care (APRN) (release in progress).
Included Quiz Questions
Which type of hernia is characterized by the inability to reduce the herniated tissue and shows signs of compromised blood supply?
- Strangulated hernia
- Reducible hernia
- Incarcerated hernia
- Sliding hernia
- Direct hernia
What are the four key elements that should be documented during the physical examination of a patient with a suspected hernia?
- Location, reducibility, size, and tenderness
- Location, color, tissue integrity, and fever
- Reducibility, temperature, color, and pain level
- Size, systolic pressure, tenderness, and heart rate
- Location, pain level, systemic symptoms, and fever
Which comorbidity significantly increases hernia risk in older adults due to increased intra-abdominal pressure?
- COPD
- Hypertension
- Diabetes
- Osteoarthritis
- Depression
What symptom combination should prompt immediate medical attention in an older adult with a hernia?
- Sudden severe pain and inability to reduce the hernia
- Mild discomfort and slight increase in size
- Occasional tenderness and easy reducibility
- Gradual size increase over several months
- Mild nausea without changes in hernia appearance
What is the recommended approach for a small, reducible hernia that does not affect quality of life in an older adult with multiple comorbidities?
- Conservative management with monitoring
- Immediate laparoscopic repair
- Emergency open surgery
- Antibiotic treatment for six weeks
- Steroid injections around the hernia site
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Author of lecture Hernias in Older Adults
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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