The nurse is performing an examination of the client's lymph nodes in the neck. The nurse should recognize which of the following is the appropriate assessment technique of lymph nodes in the neck?
Using strong pressure, palpate with both hands to compare the two sides
Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle
Using the index finger, firmly palpate by applying pressure in a rotating pattern
Using gentle pressure, palpate with both hands to compare the two sides
The Correct Answer is D
A. Using strong pressure, palpate with both hands to compare the two sides. Strong pressure is not recommended when palpating lymph nodes, as it could cause discomfort and may not provide accurate information. Lymph nodes are best assessed using gentle pressure.
B. Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle. Pinching the lymph nodes is not the correct technique. Lymph nodes should be palpated gently, not pinched, to assess their size, consistency, and mobility.
C. Using the index finger, firmly palpate by applying pressure in a rotating pattern. While a rotating pattern is part of the technique, using firm pressure with a single finger is not ideal. Gentle pressure and the use of multiple fingers or both hands are preferred for more accurate assessment.
D. Using gentle pressure, palpate with both hands to compare the two sides. This is the correct technique. Gentle pressure should be used to palpate the lymph nodes with both hands, allowing for comparison between the two sides. This method helps the nurse accurately assess the size, consistency, mobility, and tenderness of the lymph nodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
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Correct Answer is B
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