The nurse is obtaining objective data from a client with lymphangitis of the left arm. What does the nurse expect to find when collecting this data from the client?
A) Pulsatile mass in the axilla
B) Weeping and oozing of fluid from the arm
C) Cold, clammy arm
D) Red streaks following the course of the lymph channels
D
Feedback:
Red streaks follow the course of the lymph channels and extend up the arm or leg. Fever also may be present. When lymphadenitis is present, the lymph nodes along the lymphatic channels are enlarged and tender on palpation. Diagnosis is made by visual inspection and palpation. The nurse does not expect to find a pulsatile mass. Weeping and oozing would indicate lymphedema. The arm would be warm or hot, not cold and clammy.
You might also like to view...
What is centrality?
A) Refers to the decision-making structure in an organization B) Occurs when there is consonance of subunit cultures in the organization C) Refers to a position on the organizational chart where many types of communication occur D) Occurs only in line relationships
How is hepatitis C transmitted?
A) Unintentional needlesticks B) Fecal–oral route C) Contaminated food D) Airborne route
A nurse is caring for four clients. Which client should the nurse recognize as having a higher potential for suicide attempt?
A) Roman Catholic B) Protestant C) Muslim D) Atheist
Which disorders are associated with an increased risk for heart failure? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Diabetes 2. Coronary artery disease 3. Chronic hypertension 4. Myocardial infarction 5. Renal insufficiency