Hesi rn 246 health assessment proctored exam (nightgale college)
The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next?
Explanation & Rationale
Choice A reason: The appropriate next step is to assess for tenderness, mobility, consistency, and duration of the lymph node enlargement. This helps differentiate between benign and potentially malignant causes. Choice B reason: Enlarged lymph nodes are not always normal and should not be documented as such without further assessment. They may indicate infection, inflammation, or malignancy. Choice C reason: Covering the area is not a standard nursing intervention for lymphadenopathy unless there is open drainage or infection. Immediate notification without assessment is premature. Choice D reason: Lymph nodes are not auscultated for bruits. Bruits are vascular sounds heard over arteries, not lymphatic tissue.
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