Which lymph node assessment findings would increase the nurse's concern that a patient has a malignancy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The node is tender.
2. The node is hard.
3. The node is irregularly shaped.
4. The node is freely movable.
5. The node is easily palpable.
2,3
Rationale 1: Tenderness often indicates infection.
Rationale 2: Malignancy is indicated when enlarged nodes are hard to the touch. Infected nodes are slightly firm.
Rationale 3: Irregularity of shape indicates enlargement possibly because of a malignancy.
Rationale 4: Free movement is usually associated with infection. Malignant nodes are fixed to underlying tissue.
Rationale 5: Both malignant and nonmalignant causes of node enlargement result in nodes that are easily palpable.
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The nurse places a patient in isolation. Isolation techniques have the potential to break the chain of infection by interfering with what component of the chain of infection?
A) Mode of transmission B) Agent C) Susceptible host D) Portal of entry
The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child's younger brother had when he was an infant. The nurse should base a response on which information?
a. Meningitis rarely occurs during infancy. b. Often a genetic predisposition to meningitis is found. c. Vaccination to prevent all types of meningitis is now available. d. Vaccinations to prevent pneumococcal and Haemophilus influenzae type B meningitis are available.
For handwashing between clients to be effective, the agent should be in contact with the skin for at least:
a. 5 seconds. c. 30 seconds. b. 10 seconds. d. 60 seconds.
A client tells the community health nurse that he looked up information about his respiratory inhaler on the internet. Which would be the community health nurse's best response?
A) "That is excellent that you reviewed information on the internet about the medication." B) "The internet does not provide credible information about medications. You must check with the pharmacist about the side effects of any medication." C) "You should only check with your primary care provider about the uses and adverse effects of the medication." D) "I would like to review the information with you. On what specific website did you locate the information?"