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. Asthma exacerbation B. Pulmonary embolism C. Pneumothorax D. Pulmonary edema

Correct Answer is C

Explanation

A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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