The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient. When palpating the nodes on this patient, how would the lymph nodes feel?
Fixed
Rubbery, discrete, and mobile
Nonpalpable
Large, firm, and fixed to the tissue
The Correct Answer is B
A. Fixed lymph nodes are typically indicative of infection or malignancy. Healthy nodes are not fixed to the surrounding tissue.
B. Healthy lymph nodes are usually discrete (distinct and separated from surrounding tissue), mobile (moveable), and have a rubbery consistency. These are normal findings in a healthy patient.
C. Nonpalpable lymph nodes are normal and often not felt during an exam, especially if they are small or deeply located.
D. Large, firm, and fixed lymph nodes could be a sign of infection or a more serious condition such as cancer and would not be typical in a healthy patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
B. Demonstrating caring behavior by involving the patient in decision-making fosters autonomy and respect.
D. Using comfort measures like warm blankets and gentle soaps shows attention to the patient's physical and emotional comfort.
E. Acknowledging the patient's emotional response (frustration and anger) demonstrates empathy and validation of the patient's feelings.
A. Fostering denial of rehabilitation is not a caring behavior, as it prevents the patient from realistically addressing their needs.
C. Requiring the patient to stay in a wheelchair without considering their comfort or needs is not a caring or empathetic action.
Correct Answer is D
Explanation
A. Fulfilling affiliation needs involves addressing emotional needs, such as providing companionship or social support, which is not the focus of this scenario.
B. Demonstrating an encouraging manner involves offering positive reinforcement and emotional support, but this is not the behavior being demonstrated in this situation.
C. Providing a sense of presence means being emotionally available and present with the patient, which is different from creating an environment conducive to physical healing and rest.
D. Creating a healing environment refers to modifying the physical surroundings to promote rest, recovery, and well-being. Ensuring the room is cool, quiet, and dark promotes rest, which is essential for healing.
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