Preparation of the patient for palpation of the supraclavicular and infraclavicular lymph nodes should include instructing the patient to do which of the following?
a. Lean slightly forward with her head in a neutral position.
b. Relax the muscles of her head and neck by flexing the neck.
c. Turn her head first to one side and then to the other to relax the sternocleidomastoid muscle.
d. Lift the upper arm and elbow away from her body and then repeat with the other arm.
B
In order to palpate the supraclavicular and infraclavicular lymph nodes, encourage the patient to relax the muscles of the head and neck because this pulls the clavicles down and allows a thorough exploration of the supraclavicular area. The patient should flex her head to relax the sternocleidomastoid muscle. In order to palpate the axillary lymph node region, lift the upper arm and elbow away from her body and then repeat with the other arm.
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