The nurse is palpating an adult client's neck and does not note any palpable lymph nodes. Which conclusion by the nurse is appropriate based on this data?
1. This finding indicates an infection.
2. This finding is considered normal.
3. This finding necessitates a referral to an ear, nose, and throat specialist.
4. This finding indicates the need for further assessment to determine the malformation.
Correct Answer: 2
Lymph nodes of the head and neck are nonpalpable in adults. If an infection were present, the lymph nodes or the surrounding area may be tender and possibly enlarged. The lymph nodes that are located in the adult client's neck should not be able to be palpated. 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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