While assessing a client with a laceration on the client's left third finger, the nurse notes the presence of inflammation and swelling of the finger. Which other assessment findings might the nurse expect based on this initial data? Select all that apply
1. 1 cm, nontender, soft, left brachial node.
2. 2 cm, tender, firm, left superior superficial inguinal node.
3. 2 cm, tender, firm, left epitrochlear node.
4. 2 cm, nontender, firm, left ulnar node.
5. 2 cm, tender, firm, left axillary lymph node.
Correct Answer: 3, 5
Normally, the epitrochlear nodes are not palpable. A tender, firm, and enlarged node such as this one may indicate the client has an infection. The epitrochlear node drains the forearm and third, fourth, and fifth fingers. The client with an infected wound on the left finger may have a tender enlarged lymph node in the axilla that can be found with light palpation. A lymph node indicative of infection will be greater than 1 cm, tender, and mobile. The left superior superficial inguinal node drains lymph from the client's left leg. The epitrochlear node, not the ulnar node, drains lymph from the ulnar area. Lymph nodes in the arm are the following: subclavicular, central axillary, brachial, and epitrochlear.
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