Which is a normal characteristic of lymph nodes in a healthy adult patient?
Large and fixed to the tissue
Large and non-mobile
Granular texture
Not palpable
The Correct Answer is D
Choice A reason: Large, fixed lymph nodes suggest pathology, such as malignancy or chronic infection, as they indicate adherence to surrounding tissues. In healthy adults, lymph nodes are typically small and not fixed, making this an abnormal and incorrect characteristic.
Choice B reason: Large, non-mobile lymph nodes may indicate infection or malignancy, as healthy nodes are usually small and mobile. Non-mobility suggests tissue infiltration, which is pathological, making this an incorrect description of normal lymph node characteristics.
Choice C reason: Granular texture is not a standard term for describing lymph nodes. Healthy nodes, when palpable, feel smooth and soft. Granular suggests abnormality, possibly infection or malignancy, making this an inaccurate characteristic for healthy lymph nodes.
Choice D reason: In healthy adults, lymph nodes are typically not palpable, as they are small, soft, and non-tender, blending into surrounding tissues. Palpable nodes often indicate inflammation or pathology, making this the correct description of a normal finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Deep-vein thrombophlebitis involves deep vein inflammation and clotting, causing pain, swelling, and warmth, but not typically visible dilated veins. The described tortuous veins are superficial, not deep, making this an incorrect diagnosis for the findings.
Choice B reason: Varicose veins are dilated, tortuous superficial veins, often in the lower legs, causing heaviness or aching. These result from venous insufficiency, leading to blood pooling, which matches the patient’s visible veins and symptoms, making this correct.
Choice C reason: Peripheral artery disease causes reduced arterial blood flow, leading to pain, pallor, or claudication, not dilated veins. The visible tortuous veins suggest a venous issue, not arterial, making this an incorrect condition for the findings.
Choice D reason: Chronic lymphedema causes swelling due to lymphatic fluid accumulation, typically without dilated veins. The patient’s tortuous veins and heaviness point to venous pathology, not lymphatic, making this an incorrect diagnosis for the described symptoms.
Correct Answer is C
Explanation
Choice A reason: Inspection visually assesses abdominal shape and distention but cannot differentiate gas from constipation, as both may cause distention. It lacks the specificity to identify the cause, making it less effective for this purpose.
Choice B reason: Auscultation assesses bowel sounds but cannot directly distinguish gas from constipation. Hyperactive sounds may suggest gas, but this is indirect, and constipation can also alter sounds, making this less specific than percussion.
Choice C reason: Percussion produces a tympanic sound over gas-filled areas, indicating air in the bowel, versus a dull sound over solid masses like feces in constipation. This directly differentiates the cause of distention, making it the correct technique.
Choice D reason: Palpation assesses tenderness or masses but cannot reliably distinguish gas from constipation, as both may feel firm or distended. It lacks the specificity of percussion’s auditory cues, making it less effective for this purpose.
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