The nurse is demonstrating palpation of the lymph nodes to a nursing student. Which of the following methods would be correct for the nurse to use during this examination?
1. First on one side, then on the other
2. Gentle, circular pressure
3. Strong, deep pressure
4. Always attempt to push the nodes into the muscle.
2
Rationale 1: Nodes should be palpated on both sides simultaneously for comparison.
Rationale 2: Palpation of the lymph nodes should be done by exerting gentle, circular pressure using the fingerpads of both hands.
Rationale 3: Strong, deep pressure can push the nodes into the muscle and underlying structures, making them difficult to find.
Rationale 4: It is not appropriate to exhibit enough pressure to push the lymph nodes into the client's neck muscles because it makes it more difficult to find the lymph nodes.
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