In assessing the lymph nodes of the client's breast, which lymph node will the nurse palpate?

Inguinal nodes.

Subclavicular nodes.

Median lymphatic vessel

Ulnar lymphatic vessel

Answer and Explanation

The Correct Answer is B

A.   The inguinal nodes are located in the groin area. They are not typically assessed when evaluating breast lymph nodes. Instead, these nodes are relevant for assessing the lymphatic drainage of the lower extremities and pelvic region, not the breast.
B.   The subclavicular nodes are located just below the clavicle (collarbone). These nodes are part of the lymphatic drainage system for the breast and are important to assess during a breast examination, especially in the context of breast cancer or other breast conditions. Palpating the subclavicular lymph nodes helps evaluate whether cancer has spread beyond the breast tissue.
C.   The median lymphatic vessel is not a recognized term in standard lymphatic anatomy. Lymphatic vessels are not typically palpated; rather, lymph nodes are assessed. The median term might refer to the midline of the body but does not pertain to a specific lymph node group relevant to breast assessment.
D.   The ulnar lymphatic vessels are related to the lymphatic drainage of the arm, specifically along the ulnar aspect (inner side) of the forearm. These are not relevant to the breast lymph nodes. Assessment of the breast involves checking nodes in the axillary, supraclavicular, and subclavicular regions, not the ulnar lymphatic vessels.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. This position is useful for inspecting the overall shape and size of the breasts, but it may not be the best for detecting retractions.
B. This position can help identify changes in the breast tissue, but it may not be as effective as raising one arm overhead for detecting retractions.
C. Raising one arm over the head tenses the muscles in the breast and chest, which can make any retractions more visible. Retraction is often characterized by dimpling or pulling of the skin, which may be more noticeable when the breast tissue is taut.
D. This position can be helpful for examining the breasts for other abnormalities, but it may not be the best for detecting retractions.

A. Request a mammogram. B. Review the clients medication list for drugs that have gynecomastia as a side effect. C. Request a breast biopsy. D. Proceed with the examination, this is a normal part of the aging process.

Correct Answer is B

Explanation

A. While mammograms are commonly used to evaluate breast tissue in women, they are not typically used for men. In men, gynecomastia is usually evaluated with a physical exam and sometimes ultrasound rather than mammography. A mammogram might be ordered if there is a suspicion of breast cancer, but this is less common and not the first step in evaluating gynecomastia.
B. This is a prudent and effective next step. Certain medications can cause gynecomastia as a side effect, including some antipsychotics, antidepressants, antiandrogens, and calcium channel blockers. Reviewing the medication list can help identify if the gynecomastia might be related to a drug the client is taking.
C. A breast biopsy is an invasive procedure used to diagnose breast cancer or other conditions when there is a concern about a mass or abnormality. If gynecomastia is the only finding and there are no concerning features such as a palpable mass or other symptoms, a breast biopsy would not be the first step.
D. While gynecomastia can occur as a normal part of aging, especially in older men due to hormonal changes, it is important to evaluate it thoroughly to rule out other causes. Simply dismissing it as a normal part of aging without further investigation might overlook an underlying condition or medication side effect.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

In assessing the lymph nodes of the client's breast, which lymph node will the nurse palpate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are performing a breast exam on an adult woman. You are inspecting the breasts for signs of retraction. What is the best position to observe for this?

Correct Answer is C

Explanation

During an examination of a 57-year old man, you note gynecomastia. Your next best action is what?

Correct Answer is B

Explanation

Which abnormality is depicted in the image below?

The nurse is caring for 4 clients. Which client is at highest risk for skin breakdown?

A client tells the nurse that they are experiencing stabbing pain in the mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of

The nurse is assessing the client's respiratory system. Which method will result in the most accurate assessment of the client's respiratory rate?

The clinic nurse prepares to perform a focused assessment on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which assessments should the nurse include for this focused assessment? Select the three options that apply.

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?

Which assessment finding is most likely to be immediately life-threatening?

The nurse is preparing to auscultate the breath sounds of a client for an asthma exacerbation. Which breath sounds does the nurse anticipate to find upon assessment?