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 C
Explanation
A. Call the physician: This can be done after immediate life-saving interventions are performed.
B. Continue the antibiotic: Continuing the infusion will worsen the reaction.
C. Turn off the antibiotic: Stopping the source of the allergen is the immediate priority to halt the progression of the reaction.
D. Call for help: While assistance is important, turning off the infusion takes precedence.
Correct Answer is D
Explanation
A. Cephalosporin: Though cephalosporins can cause allergic reactions, they are less commonly associated with serum sickness compared to penicillins.
B. Epinephrine: Epinephrine treats allergic reactions and does not cause serum sickness.
C. Diphenhydramine: Diphenhydramine is an antihistamine used to alleviate hypersensitivity reactions.
D. Penicillin or Sulfonamide: These medications are classic triggers for serum sickness, a delayed hypersensitivity reaction involving immune complex deposition.
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