When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.
The best explanation for this is.
some form of cancer.
local scalp infection common in children.
infection or inflammation distal to the site.
infection or inflammation close to the site.
The Correct Answer is D
Choice A rationale:
Some form of cancer. Rationale: Tender, enlarged, and warm cervical lymph nodes are indicative of infection or inflammation close to the site. Cancerous lymph nodes are usually painless and firm. In this case, the symptoms suggest an active immune response to infection or inflammation in proximity to the palpated lymph nodes.
Choice B rationale:
Local scalp infection common in children. Rationale: Local scalp infection, while possible, typically does not cause tender, enlarged, and warm cervical lymph nodes. These symptoms are more consistent with an active immune response to infection or inflammation in the area near the lymph nodes.
Choice C rationale:
Infection or inflammation distal to the site. Rationale: Symptoms such as tenderness, enlargement, and warmth in cervical lymph nodes indicate a local response to infection or inflammation close to the site. "Distal" refers to a location away from the affected area, making this choice inappropriate for the described symptoms.
Choice D rationale:
Infection or inflammation close to the site. Rationale: Tender, enlarged, and warm cervical lymph nodes suggest an active immune response to infection or inflammation in the vicinity. These symptoms are signs of localized inflammation and are commonly seen in conditions such as tonsillitis, pharyngitis, or other upper respiratory infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Assessing the parents' anxiety level and readiness to learn is the first action when planning to teach the parents of an infant with a congenital heart defect (CHD). Understanding the parents' emotional state and readiness to receive information is crucial in tailoring the teaching approach effectively.
Choice B rationale:
Gathering literature for the parents is a valuable resource, but it should come after assessing the parents' needs and readiness to learn. Providing information without considering the parents' emotional state and readiness may not be as effective.
Choice C rationale:
Securing a quiet place for teaching is important for minimizing distractions, but it is not the first action. Assessing the parents' readiness to learn comes before setting up the teaching environment.
Choice D rationale:
Discussing the plan with the nursing team is important for coordination, but it is not the first action. Assessing the parents' emotional state and readiness to learn guides the development of an effective teaching plan.
Correct Answer is B
Explanation
Choice A rationale:
Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. While staying hydrated is important, consuming a fat-free carbohydrate before getting out of bed may not be sufficient to alleviate nausea and vomiting. Eating small, frequent meals throughout the day, as suggested in choice B, can help stabilize blood sugar levels and prevent the stomach from becoming too empty, which can contribute to nausea.
Choice B rationale:
Eat small, frequent meals (every 2 to 3 hours). Eating small, frequent meals can help manage nausea and vomiting during pregnancy. Having something in the stomach at all times can prevent the stomach from becoming completely empty, reducing the likelihood of nausea. Additionally, choosing easily digestible foods can further alleviate symptoms.
Choice C rationale:
Increase her intake of high-fat foods to keep the stomach full and coated. Increasing intake of high-fat foods is not advisable, as they can be harder to digest and may exacerbate nausea. The focus should be on consuming small, low-fat, easily digestible meals throughout the day.
Choice D rationale:
Limit fluid intake throughout the day. Limiting fluid intake is not recommended, especially during pregnancy. It's important for pregnant women to stay hydrated. Dehydration can worsen nausea and may lead to other complications. Encouraging adequate fluid intake between meals can also help manage nausea.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
