The nurse is examining a female client who states she has no complaints and has not had a physical examination for over 5 years. The nurse palpates enlarged lymph nodes in the axilla. Which finding is most important for the nurse to describe when reporting to the healthcare provider?

Recent over-the-counter infection cures.

Amount of daily caffeine consumption.

Number of indoor cats at home.

Nontender, firm lymph nodes.

Answer and Explanation

The Correct Answer is D

A. Information about over-the-counter treatments might be relevant but is less critical than the physical findings.
B. Daily caffeine consumption is unlikely to be directly related to the presence of enlarged lymph nodes.
C. Having indoor cats might be relevant if there was suspicion of an infection like toxoplasmosis, but this is not the most immediate concern.
D. Nontender, firm lymph nodes, especially when persistent and not related to a known infection, can be concerning and may indicate malignancy or other serious conditions. This finding should be promptly reported to the healthcare provider for further investigation.

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Correct Answer is B

Explanation

A. Applying warm blankets to both feet may help improve circulation but is not the most effective method for locating pedal pulses. This approach does not immediately address the difficulty in palpation.
B. Using a Doppler ultrasonic stethoscope is the appropriate action when pedal pulses are not palpable. The Doppler can detect blood flow in cases where pulses are weak or difficult to feel, making it a vital tool in this scenario.
C. Notifying the healthcare provider is necessary if the Doppler fails to detect pulses, but the initial step should be to use the Doppler to assess the pulses before escalating the situation.
D. Palpating pulse points with the legs dependent may assist in enhancing blood flow to the extremities, but it is less reliable than using a Doppler to detect the pulses when they are not palpable.

A. had anything to eat in the last 24 hours?" B. been depressed lately?" C. been sleeping well?" D. ever had problems with your blood sugar?"

Correct Answer is D

Explanation

A. Asking about food intake is relevant but less critical compared to assessing potential hypoglycemia or other acute issues related to blood sugar.
B. Depression can cause expressionless facial affect, but it does not usually cause slurred speech or red conjunctivae, making it a less immediate concern.
C. Sleep disturbances might explain some symptoms, but they do not typically cause the combination of slurred speech and red conjunctivae.
D. The client's symptoms could indicate hypoglycemia or other metabolic disturbances related to blood sugar. Assessing for blood sugar issues is crucial because untreated hypoglycemia can lead to serious complications, making it the priority in this situation.

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The nurse is examining a female client who states she has no complaints and has not had a physical examination for over 5 years. The nurse palpates enlarged lymph nodes in the axilla. Which finding is most important for the nurse to describe when reporting to the healthcare provider?

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Naxlex Comprehensive Predictor Exams

While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?

Correct Answer is B

Explanation

The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. Which question should the nurse ask first? "Have you:

Correct Answer is D

Explanation

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