Which location should the practical nurse palpate to determine if a client's submandibular lymph nodes are enlarged?
Lateral to the trachea.
Above the upper jaw.
Beneath the lower jaw.
Anterior to the temporal bone.
The Correct Answer is C
A. Lateral to the trachea: This location corresponds to the deep cervical lymph nodes, which drain structures of the lower head and neck but not the submandibular region. Palpating here would not assess the submandibular nodes specifically.
B. Above the upper jaw: Palpating above the upper jaw assesses the infraorbital or parotid regions, not the submandibular nodes. These nodes lie below, rather than above, the mandible and are responsible for draining the oral cavity and lower facial structures.
C. Beneath the lower jaw: The submandibular lymph nodes are located beneath the mandible, halfway between the angle and the tip of the jaw. Palpating this area helps assess for enlargement due to infections or inflammation in the mouth, throat, or face.
D. Anterior to the temporal bone: This region corresponds to the preauricular lymph nodes, which drain the scalp, ear, and eyelids. Palpation here would not provide information about submandibular node enlargement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Remind the client that the consent has already been obtained: Simply reminding the client about the signed consent does not address the underlying fear or anxiety, and it may make the client feel dismissed rather than supported.
B. Notify the charge nurse of the client's concerns about surgery: Communicating the client’s fears to the charge nurse ensures that appropriate support, counseling, or additional education can be provided before surgery. Addressing emotional readiness is essential to uphold ethical and patient-centered care.
C. Document that the client has expressed concerns about the surgery: Documentation is important but is not sufficient as an initial intervention. Immediate communication with the healthcare team is necessary to ensure the client receives timely support.
D. Encourage the client to continue with the scheduled surgery: Encouraging the client to proceed without addressing fears may increase anxiety and compromise informed consent. The client’s emotional state should be evaluated and supported before proceeding
Correct Answer is B
Explanation
A. Serum blood glucose level: Elevated glucose can impair wound healing and increase infection risk, particularly in diabetic clients, but it does not provide immediate information about the causative organism of an infected wound.
B. Culture for sensitive organisms: Wound cultures identify the specific bacteria causing the infection and determine antibiotic sensitivities. Obtaining or reviewing culture results is essential before reporting to the healthcare provider to guide appropriate antimicrobial therapy.
C. C-reactive protein level: CRP is a nonspecific marker of inflammation or infection. While elevated levels indicate systemic inflammation, they do not provide organism-specific information necessary for targeted treatment.
D. Serum albumin: Albumin reflects nutritional status, which affects healing, but it does not directly indicate the presence or type of infection. It is supportive data but not essential before reporting an acute wound infection.
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