When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.
Tender to the touch
Hard nodule
Measuring at 4 mm
Immovable
Non-palpable
Correct Answer : B,D
A. Tenderness in lymph nodes is not necessarily concerning. It may be due to inflammation or infection, which can cause the lymph nodes to be tender as they react to the presence of pathogens. Tenderness alone is not always indicative of a serious condition.
B. A hard lymph node is concerning because it may suggest malignancy or a chronic infection. Hard, firm, and rubbery nodes can be associated with cancers, such as lymphoma or metastasis from other cancers. Therefore, hard lymph nodes should be evaluated further.
C. Lymph nodes up to 1 cm (10 mm) can be considered normal, depending on the location and individual characteristics of the patient. A 4 mm lymph node is typically not concerning, especially if it is non- tender and mobile. Larger nodes, especially those over 1 cm, are more concerning.
D. Lymph nodes that are immovable or fixed to surrounding tissues are concerning and may suggest malignancy. Cancerous nodes tend to be harder, larger, and fixed in place, which makes them less mobile. Any immovable lymph node requires further investigation.
E. Non-palpable lymph nodes are normal and generally not a concern. Lymph nodes that are not palpable typically do not signify a problem, as they may be too small to be felt or located deep within the tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pinpoint pupils: Pinpoint pupils may indicate opioid use or a brainstem injury but are not related to Babinski's sign.
B. Dorsiflexion of the great toe: This is the characteristic response for a positive Babinski sign, which occurs when the toes fan out and the big toe dorsiflexes (moves upward) when the sole of the foot is stroked. It indicates an abnormal response and potential upper motor neuron damage.
C. Jerking contractions of the head and neck: This is indicative of a seizure activity, not Babinski's sign.
D. Pronation of the arms: This could be indicative of decerebrate posturing, not Babinski's sign.
Correct Answer is A
Explanation
A. Macular degeneration: This is a leading cause of vision loss in older adults and typically results in the loss of central vision, making it difficult to read or recognize faces.
B. Diabetic retinopathy: This condition affects the retina but typically causes changes in peripheral vision or blurry vision, not a specific loss of central vision.
C. Glaucoma: Glaucoma often leads to peripheral vision loss, not central vision loss.
D. Cataracts: Cataracts cause cloudy or blurry vision, but not a specific decrease in central vision.
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