The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer.On examination the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n)_____ hernia.

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Direct inguinal hernias occur most often in men over the age of 40 years.It is an acquired weakness brought on by heavy lifting,obesity,chronic cough,or ascites.The direct inguinal hernia is usually a painless,round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.See Table 24-6 for a description of scrotal hernia.See Table 24-7 for descriptions of femoral hernias and indirect inguinal hernias.

The Nurse Is Performing a Genitourinary Assessment on a 50-Year-Old