When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. What is the best explanation for this?
a. Some form of cancer
b. Local scalp infection common in children
c. Infection or inflammation distal to the site
d. Infection or inflammation close to the site
D
Feedback
A Tender lymph nodes are not usually indicative of cancer.
B A scalp infection usually does not cause inflamed lymph nodes.
C The lymph nodes close to the site of inflammation or infection would be
inflamed.
D Small nontender nodes are normal. Tender, enlarged, and warm lymph nodes
may indicate infection or inflammation close to their location.
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A mother brings her 1-week-old baby to the clinic with complaints that the baby is not eating well. The mother is attempting to bottle feed about 120 mL every 2 hours. What action by the nurse is best?
A. Explain that this is too much volume at one time. B. Have the mother demonstrate her feeding and burping technique. C. Reassure the mother that the baby is eating fine. D. Weigh the baby and plot her weight on a graph.
You are caring for a patient with late-stage Alzheimer's disease. The patient's wife tells you that the patient has become very dependent and that she feels guilty if she takes any time for herself because the patient cries out for her
What outcomes would be appropriate for the nurse to develop to assist the patient's wife? A) The caregiver learns to explain to the patient why she needs time for herself. B) The caregiver distinguishes obligations she must fulfill from those that can be controlled or limited. C) The caregiver leaves the patient at home alone for short periods of time to encourage independence. D) The caregiver avoids asking other family members to help for fear of imposing on them.
A patient is scheduled for an echocardiogram with measurement of ejection fraction. The nurse explains to the patient that this test will provide the most information about which cardiac characteristic?
1. The amount of blood the heart pumps every minute 2. The strength of the heartbeat 3. The amount of resistance the heart beats against 4. The amount of blood in the heart before it beats
The nurse enters a client's room and finds that the phone is lying in the client's lap, tissues are wadded up on the bed, and the client's eyes are red and watery. The best response by the nurse is:
A) "You look upset. Is there anything you'd like to talk about?" B) "Has your doctor been in to talk to you yet?" C) "Can I hang that phone up for you?" D) "Well, it's a beautiful day outside. Let's open the blinds."