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 B

Explanation

A. Adventitious sounds (e.g., wheezing, crackles, or stridor) are abnormal sounds that may be heard in addition to breath sounds. They do not specifically correlate with decreased breath sounds.
B. When there is obstruction in the bronchial tree (such as in conditions like asthma, chronic obstructive pulmonary disease (COPD), or a foreign body obstruction), the airflow is reduced, leading to decreased breath sounds in the affected areas.
C. Whispered pectoriloquy refers to hearing whispered sounds through the stethoscope, which would be more clearly heard with consolidation or lung tissue becoming more solid (e.g., in pneumonia), not with decreased breath sounds.
D. In consolidation (such as pneumonia), breath sounds are typically increased or bronchial, not decreased. The consolidation makes the lung tissue more solid, which can amplify breath sounds.

A. Timing B. Radiation C. Fremitus D. Egophony E. Location

Correct Answer is ["A","B","E"]

Explanation

A. The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B. Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C. Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D. Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E. The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.

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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

During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

Correct Answer is B

Explanation

A heart murmur should be assessed for which of the following? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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