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. Improper positioning does not apply in this case; the position described is often associated with respiratory distress.
B. Fatigue or weakness may be present, but the described position is more indicative of difficulty breathing.
C. Respiratory distress is suggested by the patient leaning forward, which is a common position for patients with shortness of breath as it helps expand the lungs and ease breathing.
D. Increased comfort and relaxation is unlikely; this position is more often associated with discomfort and difficulty breathing.

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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