The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Severe obesity

Severe dehydration

Connective tissue disorders such as scleroderma

Childhood growth spurts

Answer and Explanation

The Correct Answer is B

A.   Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B.   Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C.   Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D.   Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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Correct Answer is {"A":{"answers":"E"},"B":{"answers":"A"},"C":{"answers":"D"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

Palpate the preauricular nodes (1st):

The preauricular lymph nodes are located in front of the ears, near the temple. The nurse starts at the head and neck to assess the regional nodes. Palpation of the preauricular nodes is often performed first because they are closest to the head and may be involved in infections affecting the eyes, ears, or sinuses.

Palpate the submandibular nodes (2nd):

The submandibular nodes are located beneath the jaw and are often involved in respiratory or oral infections. They are assessed after the preauricular nodes, as they are still part of the head and neck region, just below the chin.

Palpate the supraclavicular nodes (5th):

These nodes are located above the clavicle and are often associated with more serious conditions, such as cancer. Assessing them early in the examination can help identify any potential red flags.

Palpate the axillary nodes (3rd):

The axillary lymph nodes are located in the armpits and are important for breast tissue, upper limb, and chest infections. These are assessed after the head and neck nodes because they are part of the upper body region and located further down, near the chest.

Palpate the popliteal nodes (4th):

The popliteal nodes are located behind the knees. These nodes are assessed next, as part of the lower extremity examination. Palpating these nodes after the axillary nodes ensures a thorough systematic approach from upper to lower body.

A. Fixed lymph nodes B. Lymph nodes that are large, firm, and fixed to the tissue C. Nonpalpable lymph nodes D. Rubbery, discrete, and mobile lymph nodes

Correct Answer is C

Explanation

A. Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B. Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C. Nonpalpable lymph nodes are a normal finding.
D. Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

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Naxlex Comprehensive Predictor Exams

A nurse is performing a lymphatic system assessment on a client reporting fatigue and malaise for one week. In which order should the nurse perform the head to toe assessments? Indicate the correct order from first to last. All options must be used.

Correct Answer is {"A":{"answers":"E"},"B":{"answers":"A"},"C":{"answers":"D"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

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Correct Answer is C

Explanation

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