A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

Cervical

Epitrochlear

Inguinal

Axillary

Answer and Explanation

The Correct Answer is D

A.   Cervical nodes drain the head and neck area, not typically the forearm or hand.
B.   Epitrochlear nodes are found near the elbow and are responsible for draining the arm. The nurse would assess these nodes if the infection is in the arm or hand.
C.   Inguinal nodes drain the lower extremities and groin area, not the upper extremities.
D.   Axillary nodes drain the upper limbs, including the forearm and hand, and are likely to be swollen if there is an infection in the upper extremities.

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Correct Answer is C

Explanation

A. Palpation of the thyroid helps assess its size, consistency, and tenderness but does not aid in detecting a bruit.
B. Swallowing helps assess the mobility of the thyroid but does not aid in auscultating for a bruit.
C. The bell of the stethoscope is used to detect low-pitched sounds, such as a bruit, which might be heard if there is increased blood flow through the thyroid gland, as seen in hyperthyroidism or Graves' disease.
D. The diaphragm is used to detect high-pitched sounds, such as lung or heart sounds. The bell is better for detecting a bruit.

A. Tachycardia B. Dyspnea C. Constipation D. Atrophied nodular thyroid gland

Correct Answer is A

Explanation

A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.

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A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the gland for the presence of a bruit. What technique should the nurse use to assess for a bruit?

Correct Answer is C

Explanation

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

Correct Answer is A

Explanation

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