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 A

Explanation

A. Ulcer refers to a wound with a loss of epidermis and dermis, often irregular and deeper, potentially bleeding.
B. Erosion involves a shallow loss of the epidermis only, not extending into the dermis.
C. Nodule is a solid, raised lesion that is typically firm and not ulcerated.
D. Cyst is a sac-like structure containing fluid or semi-solid material, not a wound with loss of tissue.

A. Assess the forearm and hand for infection B. Assess the lower extremities C. Assess the dorsalis pedis pulses D. None of the above

Correct Answer is B

Explanation

A. Assess the forearm and hand for infection would be relevant if the swollen lymph node were in the upper extremity, but the inguinal node would be more associated with a lower extremity infection.
B. Assess the lower extremities is the correct next step since the inguinal lymph nodes drain the lower body, including the legs and genital area.
C. Assess the dorsalis pedis pulses is not the next step, though it may be important if vascular concerns are suspected.
D. None of the above is incorrect because assessing the lower extremities is the next logical step.

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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

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Explanation

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