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 ["A","B","E"]
Explanation
A. Pernicious anemia: An autoimmune condition where antibodies target intrinsic factor or parietal cells, impairing vitamin B12 absorption.
B. Diabetes Mellitus Type 1: Autoimmune destruction of pancreatic beta cells leads to insulin deficiency.
C. Stroke: A stroke is a cardiovascular event, not an autoimmune disorder.
D. Diabetes Type 2: Type 2 diabetes is primarily related to insulin resistance rather than autoimmune processes.
E. Systemic Lupus Erythematosus: A chronic autoimmune disorder that affects multiple systems, including the skin, kidneys, and joints.
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