When you palpate a 5-year-old's neck, you identify small, movable, cool, nontender lymph nodes. Your findings would most likely indicate which of the following?
a. benign "shotty" nodes with no clinical significance
b. malignant and require further assessment immediately
c. related to lymphadenitis
d. related to an acute upper respiratory infection
A
Children often have small, movable, cool, nontender lymph nodes referred to as "shotty" nodes. These benign nodes are related to environmental antigen exposure or residual effects of a prior illness and have no clinical significance.
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A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life
The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of: a. Permission b. Respect c. Interest d. Protection
A client presents to an urgent care center complaining of pain in his left great toe and reports a history of gout. What blood test would the RN anticipate the physician to order to assist with the diagnosis?
a. serum calcium b. serum uric acid c. serum phosphorus d. lactate dehydrogenase
A nurse psychotherapist works with an anxious, dependent patient. The therapeutic strategy most consistent with the framework of psychoanalytic psychotherapy is:
a. emphasizing medication compliance b. identifying the patient's strengths and assets c. offering psychoeducational materials and groups d. focusing on feelings developed by the patient toward the nurse
Which assessment should the nurse perform if she notes a palpable thyroid gland?
a. Illuminate the thyroid gland for the presence of fluid. b. Auscultate the thyroid gland for bruits. c. Percuss the thyroid gland for mass size. d. Measure the thyroid gland to assess change.