The nurse is caring for a patient who reports enlarged, painful, and moveable preauricular lymph nodes, postauricular lymph nodes, and cervical lymph nodes. Which does the nurse infer from these findings?
Liver Failure
Thyroid Disorder
Infection
Cancer
The Correct Answer is C
A. Liver Failure: Lymph node enlargement is not a typical finding in liver failure. Common signs of liver failure include jaundice and ascites.
B. Thyroid Disorder: Thyroid disorders typically present with changes in metabolism, thyroid enlargement (goiter), or thyroid hormone imbalances rather than lymphadenopathy.
C. Infection: Painful, movable lymph nodes are commonly associated with bacterial or viral infections.
D. Cancer: Cancer-related lymphadenopathy is typically painless and associated with firm, fixed lymph nodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Perform hand hygiene before and after care: Hand hygiene is the most effective way to prevent infection transmission.
B. Implement neutropenic precautions: This is important but comes after basic infection control measures.
C. Move the client to a positive-airflow room: Positive airflow rooms are used for highly immunocompromised clients but are not the first action.
D. Ensure all visitors wear masks: This is a precautionary measure but secondary to hand hygiene.
Correct Answer is C
Explanation
A. An infectious disease: Autoimmune diseases are not caused by pathogens.
B. A disease that only affects the elderly: Autoimmune diseases can affect people of any age.
C. A disease in which the body attacks itself: Autoimmune diseases occur when the immune system mistakenly targets its own tissues.
D. A hereditary disease: While some autoimmune diseases may have genetic components, this is not the defining characteristic.
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