The nurse examines the lymph nodes of a patient during a physical assessment. Which assessment finding would be of most concern to the nurse?
a. A 2-cm nontender supraclavicular node
b. A 1-cm mobile and nontender axillary node
c. An inability to palpate any superficial lymph nodes
d. Firm inguinal nodes in a patient with an infected foot
ANS: A
Enlarged and nontender nodes are suggestive of malignancies such as lymphoma. Firm nodes are an expected finding in an area of infection. The superficial lymph nodes are usually not palpable in adults, but if they are palpable, they are normally 0.5 to 1 cm and nontender.
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A nurse is unable to be actively involved in attending meetings at the state level. Which of the following actions would be most useful for the nurse?
a. Asking students to remain informed regarding proposed legislation b. Communicating, with rationales, her stand on proposed legislation to legislators c. Remaining uninvolved so incorrect information is not inadvertently given d. Writing letters to the local newspaper asking nurses to become involved
The nurse administers clopidogrel (Plavix) appropriately to the patient with what condition?
A) Maintaining the patency of grafts B) Treating peripheral artery disease C) Preventing emboli from valve replacements D) Dissolving a pulmonary embolus and improving oxygenation
When including a 12-step program in a client's plan of care, the nurse can expect that stress
mediators will include (more than one answer may be correct) A. social support. B. spiritual support. C. professional therapy. D. health-sustaining habits.
A patient, newly diagnosed with hypothyroidism, is anxious to begin her drug regimen. What should the nurse's instructions relative to hormone replacement include?
a. "Be certain that no dose is skipped." b. "Be sure and take these drugs just before bedtime." c. "Know the signs and symptoms of hyper-thyroidism." d. "You will be able to notice the benefits of thyroid replacement therapy right away."