The procedure for palpation of the axillary lymph nodes is to first stand at the patient's right side, facing the patient, and next
a. ask her to flex her head to enhance relaxation of the shoulders and arms.
b. abduct her left arm, using your left hand to relax the axillary muscles.
c. adduct her right arm, using your left hand so that it is close to the chest wall.
d. support her flexed left arm on your left forearm.
C
The procedure for palpation of the axillary lymph nodes is to first stand at the patient's right side, facing the patient, and tell the patient to take a deep breath and relax the shoulders and arms (this relaxes the areas to be palpated). Next, adduct her right arm, using your left hand so that it is close to the chest wall. This maneuver relaxes the muscles. Support the patient's right arm with your left hand. Using the palmar surfaces of the finger pads of your right hand, place your fingers into the apex of the axilla. Your fingers will be positioned behind the pectoral muscles. Gently roll the tissue against the chest wall and axillary muscles as you work downward. Next, locate and palpate the four axillary lymph node groups.
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