The nurse palpates a swollen inguinal lymph node. Which assessment should the nurse perform next?

Assess the forearm and hand for infection

Assess the lower extremities

Assess the dorsalis pedis pulses

None of the above

Answer and Explanation

The Correct Answer is B

A.   Assess the forearm and hand for infection would be relevant if the swollen lymph node were in the upper extremity, but the inguinal node would be more associated with a lower extremity infection.
B.   Assess the lower extremities is the correct next step since the inguinal lymph nodes drain the lower body, including the legs and genital area.
C.   Assess the dorsalis pedis pulses is not the next step, though it may be important if vascular concerns are suspected.
D.   None of the above is incorrect because assessing the lower extremities is the next logical step.

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Correct Answer is C

Explanation

A. Xerostomia (dry mouth) is common in some conditions but not typically associated with a stroke.
B. Rhinorrhea (runny nose) is not a typical finding related to stroke.
C. Dysphagia (difficulty swallowing) is a common issue for patients after a stroke, especially if the stroke affects the areas of the brain responsible for swallowing.
D. Epistaxis (nosebleed) is not a direct consequence of a stroke. The nurse should be more concerned with symptoms related to swallowing, speech, and motor function, such as dysphagia.

A. Smoking, hypertension, obesity, diabetes, and high cholesterol B. Personality type, high cholesterol, diabetes, and smoking C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol D. Family history, hypertension, stress, and age

Correct Answer is A

Explanation

A. Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B. Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C. Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D. Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

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The nurse palpates a swollen inguinal lymph node. Which assessment should the nurse perform next?

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Naxlex Comprehensive Predictor Exams

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

Correct Answer is C

Explanation

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Correct Answer is A

Explanation

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