The patient presents with fever for the last few days, sore throat and enlarged lymph nodes under the jaw. What is the appropriate response of the nurse when the patient asks about the cause of the enlarged lymph nodes?
Enlarged lymph nodes are associated with hypertensive heart disease."
"They are most likely enlarged as a result of the throat infection.
"You should probably see an oncologist to rule out lymphedema.
You probably have a blockage in the thoracic lymph duct"
The Correct Answer is B
A. Enlarged lymph nodes are associated with hypertensive heart disease is not a correct association. Hypertension does not directly cause lymph node enlargement.
B. They are most likely enlarged as a result of the throat infection is the correct answer. Enlarged lymph nodes, especially under the jaw, are commonly seen in response to infections, particularly in the throat (such as a viral or bacterial infection like pharyngitis).
C. You should probably see an oncologist to rule out lymphedema is an unnecessary response at this time. Lymphedema usually presents with other symptoms, and the patient's symptoms (fever, sore throat, and localized lymph node enlargement) suggest an infection rather than cancer.
D. You probably have a blockage in the thoracic lymph duct is not a common cause of localized lymph node enlargement. Blockages in the thoracic duct would affect lymphatic flow more generally and would present with more systemic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ophthalmoscope is used to inspect the eyes, not the ears, nose, mouth, or throat.
B. Stethoscope is primarily used for auscultation (listening to heart, lung, and bowel sounds), not for inspecting the ears, nose, mouth, or throat.
C. Gauze sponge might be helpful for some tasks but is not necessary for a general inspection of the ears, nose, mouth, and throat.
D. Penlight is the correct equipment for inspecting the ears, nose, mouth, and throat. It provides focused light to help examine these areas effectively.
Correct Answer is D
Explanation
A. Standard solutions may apply to some health problems, but patient care often requires individualized approaches based on each patient's unique circumstances.
B. Caring for patients requires significant experience, knowledge, and clinical judgment. It involves understanding and responding to each patient's needs, which varies greatly.
C. Patients are diverse in their experiences, health conditions, and backgrounds, so they are not all the same. Each one requires personalized care.
D. Each patient has a unique background, which affects their health, lifestyle, preferences, and care needs. Recognizing and respecting these differences is essential to providing effective care.
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