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. Return Demonstration involves the patient demonstrating the skill they have learned, which is useful for teaching practical skills but does not provide a space for discussing personal or sensitive topics.
B. One On One Discussion is the best method for discussing personal or sensitive topics. It provides privacy, individualized attention, and a safe environment for patients to express concerns.
C. Group Discussion allows for the exchange of ideas but may not be the best setting for personal or sensitive topics due to the presence of multiple individuals.
D. Lecture is more of a didactic, one-way method of teaching and doesn’t foster open discussion of sensitive topics.
Correct Answer is B
Explanation
A. Fixed lymph nodes are typically indicative of infection or malignancy. Healthy nodes are not fixed to the surrounding tissue.
B. Healthy lymph nodes are usually discrete (distinct and separated from surrounding tissue), mobile (moveable), and have a rubbery consistency. These are normal findings in a healthy patient.
C. Nonpalpable lymph nodes are normal and often not felt during an exam, especially if they are small or deeply located.
D. Large, firm, and fixed lymph nodes could be a sign of infection or a more serious condition such as cancer and would not be typical in a healthy patient.
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