When conducting a physical examination on your patient, you determine that which of the following is a normal finding of lymph node examination?
a. nontender, fixed, hard nodes
b. nonmobile, rubbery, erythematous nodes
c. small, discrete, movable nodes
d. enlarged node in the left supraclavicular area
C
Lymph nodes should not be palpable in the healthy adult; however, small, discrete, movable nodes are sometimes present. These are of no significance. Nontender, fixed, hard nodes may indicate a malignancy in the head and neck area. An enlarged node in the left supraclavicular area may indicate a malignancy in the abdominal or thoracic regions.
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Which of the following patients would benefit from preoperative teaching about splinting of incisions to minimize discomfort? (Select all that apply.)
a. Patient having coronary bypass graft surgery b. Patient having open breast biopsy c. Patient having total hip replacement surgery d. Patient having lumbar spine decompression surgery e. Patient having surgery to repair retinal detachment f. Patient having total abdominal hysterectomy
As part of a community class, student nurses are developing a class to teach expectant parents the importance of having their child properly secured in a child safety seat
During the class, the students are going to have a safety officer examine the car seats that the parents have installed in their vehicles. This is an example of which type of prevention? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Prognosis enhancement
The patient's husband is very upset because his wife, who is near death, has dyspnea and restlessness. The nurse explains to him that there are some ways to decrease her discomfort, including:
a. respiratory therapy treatments. b. opioid medications given as needed. c. incentive spirometry. d. increased hydration.
A patient diagnosed with osteomyelitis has a fever of 101.2°F, a white blood cell count of 22,000, and is complaining of severe leg pain. Which physician's order should the nurse implement first?
1. Start IV D51/2 NS at 125 ml/hr 2. Blood cultures ×2 at different sites 3. Rocephin 1 gram IV twice a day 4. Acetaminophen 650 mg PO for temperature above 100°F 5. Morphine 4 mg IV for pain