When examining axillary lymph nodes, the patient's arm is:
a. raised fully above the head.
b. extended at the side.
c. flexed at the elbow.
d. crossed over the chest.
C
To examine the axilla, support the patient's lower arm with the elbow flexed with one of your hands and use your other hand to palpate the axilla.
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The nurse is caring for a patient who is recovering from thoracotomy surgery. The patient's respirations are regular but very shallow. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis:
Ineffective breathing pattern r/t fatigue and pain? a. Encourage the patient to use incentive spirometer after administration of pain medication. b. Ask the patient to describe prior pain experiences and effectiveness of methods used to manage pain. c. Help the patient to understand that comfort is a priority goal of nursing care in the postoperative period. d. Assist the patient to minimize the effects of pain on interpersonal relationships with family members.
The nurse is caring for a woman whose membranes ruptured at 30 weeks' gestation. Two weeks later, the client has a fever of 101°F. The nurse recognizes the need for: (Select all that apply.)
A) fetal blood sampling. B) cesarean section. C) IV antibiotics. D) delivery of the fetus.
The nurse caring for a client who is 20 weeks pregnant realizes that which of the following health issues can predispose the client to developing eclampsia?
1. Fibrocystic breast disease 2. Type 2 diabetes mellitus 3. Surgery for ruptured appendix 1 year prior 4. Treatment for vitamin D deficiency
A client is diagnosed with an autosomal recessive inherited disease. Which of the following are examples of this type of inherited disease? (Select all that apply.)
1. Cystic fibrosis 2. D-resistant rickets 3. Sickle-cell disease 4. Tay-Sachs disease 5. Phenylketonuria 6. Galactosemia