The nurse is palpating an adult client's neck and does not note any palpable lymph nodes. The nurse understands that this is:
1. probably due to an infection.
2. a normal finding in adults.
3. reason for referral to an ear, nose, and throat specialist.
4. cause to inspect for further malformations.
2
Rationale 1: Lymph nodes of the head and neck are non-palpable in adults. If an infection were present, the lymph nodes of the surrounding area may be tender and possibly enlarged.
Rationale 2: The lymph nodes that are located in the adult client's neck should not be able to be palpated.
Rationale 3: There is no reason to refer the client to a specialist or to inspect the client for further malformations in the neck because it is normal to be unable to palpate lymph nodes.
Rationale 4: There is no reason to refer the client to a specialist or to inspect the client for further malformations in the neck because it is normal to be unable to palpate lymph nodes.
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