When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next?
a. Assess the patient's abdomen, and notice any tenderness.
b. Carefully assess the cervical lymph nodes, and check for any enlargement.
c. Ask additional health history questions regarding any recent ear infections or sore throats.
d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions.
Question 2
The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement?
a. Lymph flow is propelled by the contraction of the heart.
b. The flow of lymph is slow, compared with that of the blood.
c. One of the functions of the lymph is to absorb lipids from the biliary tract.
d. Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream.
Hydrocephalus. The figure on the left is a child with the enlarged ventricles of hydrocephalus. The
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
nurse
Health Assessment
assessment techniques
Grief Responses and Patient Verbalization