During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Lumped

Unilateral

Soft and nontender

Firm but freely movable

Answer and Explanation

The Correct Answer is B

A.   Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B.   In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C.   Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D.   Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

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Correct Answer is A

Explanation

A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.

A. Tactile fremitus B. Crepitus. C. Adventitious sounds. D. Friction rub

Correct Answer is B

Explanation

A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

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During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

Correct Answer is A

Explanation

During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Correct Answer is B

Explanation

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