The nurse is caring for a patient who reports enlarged, painful, and moveable preauricular lymph nodes, postauricular lymph nodes, and cervical lymph nodes. Which does the nurse infer from these findings?
Liver Failure
Thyroid Disorder
Infection
Cancer
The Correct Answer is C
A. Liver Failure: Lymph node enlargement is not a typical finding in liver failure. Common signs of liver failure include jaundice and ascites.
B. Thyroid Disorder: Thyroid disorders typically present with changes in metabolism, thyroid enlargement (goiter), or thyroid hormone imbalances rather than lymphadenopathy.
C. Infection: Painful, movable lymph nodes are commonly associated with bacterial or viral infections.
D. Cancer: Cancer-related lymphadenopathy is typically painless and associated with firm, fixed lymph nodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You will need to continue on dialysis": A successful kidney transplant should eliminate the need for dialysis, though dialysis may be required temporarily if the transplanted kidney takes time to function.
B. "You will need to be on antibiotics for the rest of your life": Routine long-term antibiotic therapy is not required, although prophylactic antibiotics may be prescribed initially.
C. "You don't need to worry about organ rejection, it never happens": Organ rejection is always a concern, and immunosuppressive therapy is necessary to prevent it.
D. "You will need to be on immunosuppression drugs for the rest of your life": Lifelong immunosuppressive therapy is essential to prevent the immune system from rejecting the transplanted organ.
Correct Answer is B
Explanation
A. Education on Epi-pen: While education is important, it is not a priority during a severe allergic reaction.
B. Maintaining airway: Airway compromise is the primary concern during a severe allergic reaction due to potential bronchospasm and swelling.
C. Emotional support: Providing emotional support is important but secondary to maintaining the airway.
D. Treat urticaria: Managing skin symptoms like hives (urticaria) is not the top priority when airway obstruction is a risk.
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