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    Wgu rn hesi health assessment proctored exam

    The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next?

    Explanation & Rationale

    A. Covering the area is not necessary unless there is an open wound or infection. B. The nurse should assess for tenderness, as it may indicate infection or other issues like lymphadenopathy due to localized infections or malignancy. C. Auscultating a lymph node for a bruit is not appropriate, as bruits are more commonly heard over vascular structures. D. Lymph nodes can sometimes be palpable, but this does not necessarily mean it is a normal finding. Further assessment is required.

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