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 B

Explanation

A. Normally auscultated over the trachea refers to bronchial breath sounds, which are louder and higher-pitched and heard over the trachea, not the lower lungs.
B. Vesicular breath sounds and normal in that location are low-pitched and soft, heard over the peripheral lung fields, and normal for the lower lobes.
C. Bronchial breath sounds and normal in that location would be expected near the trachea and bronchi, not over the peripheral lung fields.
D. Bronchovesicular breath sounds and normal in that location are typically heard over the major bronchi, not the posterior lower lobes.

A. Xerostomia B. Rhinorrhea C. Dysphagia D. Epistaxis

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.

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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

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Explanation

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