When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next?

a. Assess the patient's abdomen, and notice any tenderness.
b. Carefully assess the cervical lymph nodes, and check for any enlargement.
c. Ask additional health history questions regarding any recent ear infections or sore throats.
d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions.


ANS: D
The epitrochlear nodes are located in the antecubital fossa and drain the hand and lower arm. The other actions are not correct for this assessment finding.

Nursing

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