Author Question: While performing a well-child assessment on a 5 year old, the nurse notes the presence of palpable, ... (Read 23 times)

genevieve1028 · **on:** Jun 25, 2018

While performing a well-child assessment on a 5 year old, the nurse notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They are approximately 0.5 cm in size, round, mobile, and nontender. The nurse suspects that this child:

a. Has chronic allergies.
b. May have an infection.
c. Is exhibiting a normal finding for a well child of this age.
d. Should be referred for additional evaluation.

Question 2

The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that this means that the patient's trachea is:

a. Pulled to the affected side.
b. Pushed to the unaffected side.
c. Pulled downward.
d. Pulled downward in a rhythmic pattern.

bubulittle310@msn.cn · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Palpable lymph nodes are normal in children until puberty when the lymphoid tissue begins to atrophy. Lymph nodes may be up to 1 cm in size in the cervical and inguinal areas but are discrete, movable, and nontender.

Answer to Question 2

ANS: B
The trachea is pushed to the unaffected side with an aortic aneurysm, a tumor, unilateral thyroid lobe enlargement, or a pneumothorax. The trachea is pulled to the affected side with large atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic downward pull that is synchronous with systole and occurs with aortic arch aneurysm.