While assessing a client with a laceration on the client's left third finger, the nurse notes the presence of inflammation and swelling of the finger. The nurse might expect to find which of the following? Standard Text: Select all that apply

Question

1. 1cm, nontender, soft, left brachial node
2. cm, tender, firm, left superior superficial inguinal node
3. 2 cm, tender, firm, left epitrochlear node
4. cm, nontender, firm, left ulnar node
5. cm, tender, firm, left axillary lymph node

Answer 1

3,5
Rationale 1: 1cm, nontender, soft, left brachial node. A 1 cm lymph node is not necessarily enlarged. Tenderness usually indicates the presence of infection. Firmness can indicate infection.
Rationale 2: 2 cm, tender, firm, left superior superficial inguinal node. An infected wound on the client's left third finger may result in a tender enlarged firm epitrochlear, brachial, and axillary lymph nodes. The left superior superficial inguinal node drains lymph from the client's left leg.
Rationale 3: 2 cm, tender, firm, left superior superficial inguinal node. Normally, the epitrochlear nodes are not palpable. A tender, firm and enlarged node such as this one may indicate the client has an infection. The epitrochlear node drains the forearm and third, fourth, and fifth fingers. A lymph node indicative of infection will be greater than 1 cm, tender, and mobile.
Rationale 4: 2 cm, nontender, firm, left ulnar node. The epitrochlear node drains lymph from the ulnar area. Lymph nodes in the arm are the following: subclavicular, central axillary, brachial, and epitrochlear.
Rationale 5: 2 cm, tender, firm, left axillary lymph node. The client with an infected wound on the left finger may have a tender enlarged lymph node in the axilla that can be found with light palpation.