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 ["A"]
Explanation
To map the client's abdomen into four quadrants, the nurse should use the umbilicus as the landmark to perform this assessment. The abdomen is divided into four quadrants by drawing an imaginary line from the center of the umbilicus to the pubic symphysis and another line from the center of the umbilicus to the xiphoid process of the sternum. This helps in identifying the location of any potential abdominal discomfort or tenderness.
Correct Answer is ["C","D"]
Explanation
The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.
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