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 B
Explanation
A. Lecture is a more formal, one-way method of instruction where the nurse teaches the patient, but it doesn't provide the same level of interactive support as a group discussion.
B. Group Discussion allows patients to share experiences, ask questions, and receive support from others in the group. It creates an environment where patients can learn from each other and feel supported by their peers.
C. Return Demonstration involves the patient demonstrating a skill after it has been taught, but it doesn't provide the group support that a discussion would.
D. One On One Discussion is a more individualized approach, which doesn't offer the benefit of support from multiple people like a group discussion would.
Correct Answer is B
Explanation
A. Watson's Transpersonal Theory emphasizes a caring relationship rather than a hierarchical or authoritative one, so this goal does not align with the theory.
B. Developing a therapeutic relationship is central to Watson’s theory. It emphasizes the nurse-patient relationship as a means to promote healing and well-being, where both the nurse and patient are active participants.
C. Watson's theory promotes collaboration and mutual respect, rather than simply telling the patient what to do.
D. Watson’s theory advocates for inclusivity and patient-centered care, which would generally encourage involving family when appropriate, not excluding them.
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