The nurse has just completed palpation maneuvers for lymph nodes on an older adult female client. Which findings are considered normal for this older adult client?
Explanation & Rationale
Rationale: A. Axillary nodes feel soft and fatty: In older adults, lymph nodes often become smaller, softer, and more fatty due to age-related atrophy of lymphatic tissue. Soft, fatty nodes in the axillary area are considered a normal finding and generally do not indicate infection or malignancy unless associated with other concerning symptoms. B. Inguinal nodes are enlarged and warm to the touch: Enlarged and warm lymph nodes suggest acute infection or inflammation. This is not a normal finding at any age and would warrant further evaluation to rule out infectious processes, malignancy, or systemic disease. C. Nodes feel ropey and rubbery: Ropey and rubbery lymph nodes can indicate abnormal conditions such as lymphoma or chronic infection. While texture can vary, this description is more consistent with pathological changes and not considered normal in a healthy older adult. D. Nodes are nonpalpable: While nonpalpable lymph nodes can be normal, especially if small and deep, some lymph nodes—like inguinal or axillary nodes—can still be felt even in healthy individuals. Therefore, the presence of soft, fatty nodes is a more typical normal finding rather than complete nonpalpability.