A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

Cervical

Epitrochlear

Inguinal

Axillary

Answer and Explanation

The Correct Answer is D

A.   Cervical nodes drain the head and neck area, not typically the forearm or hand.
B.   Epitrochlear nodes are found near the elbow and are responsible for draining the arm. The nurse would assess these nodes if the infection is in the arm or hand.
C.   Inguinal nodes drain the lower extremities and groin area, not the upper extremities.
D.   Axillary nodes drain the upper limbs, including the forearm and hand, and are likely to be swollen if there is an infection in the upper extremities.

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Correct Answer is C

Explanation

A. Increasing capillary fragility contributes to bruising and bleeding but does not directly cause skin folding or sagging.
B. Increased sebaceous and sweat glands may affect skin texture but are not the primary cause of sagging skin.
C. Decreased collagen is the primary reason for skin sagging in aging, as collagen provides structure and elasticity to the skin. With age, collagen production decreases, leading to wrinkles and sagging.
D. Loss of elasticity is a consequence of reduced collagen and elastin fibers, contributing to skin changes, but decreased collagen is the main cause of the sagging.

A. Exophthalmos B. Coarse facial features C. Bowed long bones D. Acorn-shaped cranium

Correct Answer is B

Explanation

A. Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B. This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C. While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D. While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.

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A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

Correct Answer is C

Explanation

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

Correct Answer is B

Explanation

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The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of: