The nurse is observing the respiratory effort of a client, and notes that the client's intercostal spaces are retracting on inspiration. The nurse will assess the client for the presence of which condition(s)? Select All That Apply

A. Palpable lymph nodes are assessed through palpation, not inspection. The nurse would use their hands to feel for lymph nodes in areas such as the axilla (armpit) and supraclavicular regions. This is a tactile examination and therefore not documented as part of the inspection.
B. Symmetry refers to the visual observation of whether the breasts are equal in size and shape. During the inspection phase, the nurse notes whether the breasts appear symmetrical or if there are any visible asymmetries.
C. Breast sensitivity is typically assessed through palpation or the client’s report of symptoms rather than through inspection alone. Sensitivity involves asking the client about their experience of pain or discomfort in the breasts, which cannot be observed visually.
D. Tenderness is assessed through palpation, where the nurse would gently press on the breast tissue to determine if the client experiences pain. Tenderness is not a visual finding and therefore is not documented during the inspection phase.

A. The inguinal nodes are located in the groin area. They are not typically assessed when evaluating breast lymph nodes. Instead, these nodes are relevant for assessing the lymphatic drainage of the lower extremities and pelvic region, not the breast.
B. The subclavicular nodes are located just below the clavicle (collarbone). These nodes are part of the lymphatic drainage system for the breast and are important to assess during a breast examination, especially in the context of breast cancer or other breast conditions. Palpating the subclavicular lymph nodes helps evaluate whether cancer has spread beyond the breast tissue.
C. The median lymphatic vessel is not a recognized term in standard lymphatic anatomy. Lymphatic vessels are not typically palpated; rather, lymph nodes are assessed. The median term might refer to the midline of the body but does not pertain to a specific lymph node group relevant to breast assessment.
D. The ulnar lymphatic vessels are related to the lymphatic drainage of the arm, specifically along the ulnar aspect (inner side) of the forearm. These are not relevant to the breast lymph nodes. Assessment of the breast involves checking nodes in the axillary, supraclavicular, and subclavicular regions, not the ulnar lymphatic vessels.