When assessing the lymph nodes, the nurse should: (select all that apply)
Assess unilaterally.
Assess mobility.
Assess the size and shape.
Assess bilaterally.
Correct Answer : B,C,D
Assessing unilaterally is not recommended as it may lead to missing important findings on one side.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The SBAR (Situation, Background, Assessment, Recommendation) system is a standardized way of communicating critical information between healthcare professionals, particularly during patient handoffs or when escalating a concern.
The recommendation component is where the healthcare professional providing the report suggests a course of action or plan for the patient based on the situation, background, and assessment. For example, a recommendation might be, "I recommend increasing Mr. Smith's pain medication to manage his discomfort," or "I recommend a consult with the nutritionist to address Mrs. Brown's malnutrition."
Of the options provided, (a) provides the situation, (c) provides the assessment, and (d) provides a specific finding from the assessment. Option (b) is a specific recommendation or plan.
Correct Answer is ["A","B","C"]
Explanation
Prostate enlargement is not directly assessed through an anal examination.
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