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 ["2"]
Explanation
Order: Salagen 10 mg, twice a day
Supply: 5 mg tablets
For one dose:
\((10 mg )/(5 mg/tablet)=2 tablets \)
Sinceit'sgiventwiceaday,thenursewilladminister:
2tablets×2=4tabletsperday2
Answer: 2 tablets per dose, 4 tablets per day
Correct Answer is C
Explanation
A. Telling involves providing information to the patient in a one-way manner without significant interaction or involvement from the patient in performing the task.
B. Reinforcing is when the nurse encourages or praises the patient for performing the task correctly, but this does not involve active participation in the task itself.
C. Participating is the correct answer. This approach involves the nurse and patient working together. The nurse provides guidance while the patient is actively performing the task, fostering skill development and confidence.
D. Entrusting involves allowing the patient to take responsibility for their care and making decisions independently, typically after initial guidance. This does not match the scenario where the nurse is still guiding the patient.
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