Which assessment findings would the nurse evaluate as indicating inflammation or infection of the superficial lymph nodes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The nodes are easily palpable.
2. There is edema in the area of the node.
3. The contour of the lymph node is visible.
4. There is cyanosis in the area being assessed.
5. The area over the node is cool to the touch.
1,2,3
Rationale 1: Superficial lymph nodes are normally not palpable.
Rationale 2: Edema in the area indicates inflammation or infection.
Rationale 3: Lymph nodes are small and should not be visible.
Rationale 4: Cyanosis is an abnormal finding but is not associated with the lymph system.
Rationale 5: Infection or inflammation is more likely to manifest with warmth over the area.
You might also like to view...
What should the nurse instruct a patient who takes tincture of rosemary to do several times a day?
a. Assess pulse frequently b. Avoid constipation c. Watch for hypoglycemia d. Wear sunscreen
Which nursing intervention best demonstrates the nurse's mindfulness to the patient with depression?
1. Explaining medication effects to the patient 2. Focusing on the patient's immediate needs 3. Letting the patient know that time heals all sorrow 4. Caring for the patient with an honest and nonjudgmental attitude
The level at which the jugular venous pulse is visible gives an indication of _________________________
Fill in the blank(s) with correct word
An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
1. Histamine2 receptor antagonists for 4 to 8 weeks 2. Proton pump inhibitor bid for 12 weeks until healing is complete 3. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days 4. Proton pump inhibitor bid and levofloxacin for 14 days