3 QUESTIONS AND VERIFIED
CORRECT ANSWERS
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-Lymph flow is propelled by the contraction of the heart
-The flow of lymph is slower compared with that of blood
-One of the functions of the lymph is to absorb lipids from the biliary tract
- Lymph vessels have no valves, therefore lymph fluid flows freely from the tissue spaces into
the bloodstream - CORRECT ANSWER-The flow of lymph is slower compared with that of blood
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?
-assess the patient's abdomen and notice any tenderness
-carefully assess the cervical lymph nodes and check for any enlargement
-ask additional health history questions regarding any recent ear infections or sore throats
-examine the patients lower arm and hand and check for the presence of infection or lesions -
CORRECT ANSWER-examine the patient's lower arm and hand and check for the presence of
infection or lesions
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings
should the nurse expect to see during an assessment of this patient?
,-hard and fixed cervical nodes
-enlarged and tender inguinal nodes
-bilateral enlargement of the popliteal nodes
-pelletlike nodes in the supraclavicular region - CORRECT ANSWER-enlarged and tender inguinal
nodes
During an assessment of an older adult, the nurse should expect to notice which finding as a
normal physiological change associated with the aging process
-hormonal changes causing vasodilation and a resulting drop in BP
-progressive atrophy of the intramuscular calf veins, causing venous insufficiency
-peripheral blood vessels growing more rigid with age, producing a rise in SBP
-narrowing of the inferior vena cava, causing low flood flow and increase is venous pressure
resulting in varicosities - CORRECT ANSWER-peripheral blood vessels growing more rigid with
age, producing a rise in SBP
A 67-year-old patient states that he recently began to have pain in his left calf when climbing
the 10 stairs to his apartment. This pain is relieved by sitting for 2 minutes. The nurse interprets
that he is most likely experiencing _____
-claudication
-sore muscles
-muscle cramps
-venous insufficiency - CORRECT ANSWER-claudication
A patient complains of leg pain that wakes him at night. He states that he's having problems
with his legs. He has pain when he elevates them, and it disappears when he dangles them. He
, recently noticed a sore on the inner aspect of the right ankle. The nurse interprets that the
patient is most likely experiencing ____
-pain related to lymphatic abnormalities
-problems related to arterial insufficiency
-problems related to venous insufficiency
-pain related to musculoskeletal abnormalities - CORRECT ANSWER-problems related to arterial
insufficiency
During assessment of a patient with emphysema, the nurse examines the patient's fingers from
the side to detect what?
-pitting edema
-early clubbing
-symmetry of the fingers
-insufficient capillary refill - CORRECT ANSWER-early clubbing
The nurse is assessing a 64-year-old patient whose vital signs are normal, with a capillary refill
time of 5 seconds. What should the nurse do next?
-ask the patient about a history of frostbite
-suspect that the patient has venous insufficiency
-consider this a delayed capillary refill time and investigate further
-consider this a normal capillary refill time that requires no further assessment - CORRECT
ANSWER-consider this a delayed capillary refill time and investigate further
When assessing a patient, the nurse notes that the left femoral pulse is diminished. What
should the nurse do next?