An adult patient has presented to the health clinic with a complaint of a firm, painless cervical lymph node. The patient denies any recent infectious diseases. What is the nurse's most appropriate response to the patient's complaint?
A) Call 911.
B) Promptly refer the patient for medical assessment.
C) Facilitate a radiograph of the patient's neck and have the results forwarded to the patient's primary care provider.
D) Encourage the patient to track the size of the lymph node and seek care in 1 week.
Ans: B
Feedback:
Hodgkin lymphoma usually begins as an enlargement of one or more lymph nodes on one side of the neck. The individual nodes are painless and firm but not hard. Prompt medical assessment is necessary if a patient has this presentation. However, there is no acute need to call 911. Delaying care for 1 week could have serious consequences and x-rays are not among the common diagnostic tests.
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