Assessing Lymphatic System with Palpation
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Questions and Answers

What should a nurse do before palpating a client's lymph nodes?

  • Use the fingertips to apply heavy pressure
  • Compare the right side to the left side simultaneously
  • Ask the client if they have any pain or tenderness when touched (correct)
  • Palpate the client's abdomen first

What is the primary reason for bilateral palpation of the lymph nodes?

  • To compare the size of the nodes
  • To examine the nodes in a specific sequence
  • To palpate all nodes simultaneously
  • To detect any asymmetry or abnormalities (correct)

What is an essential aspect of palpating a client's lymph nodes?

  • Using heavy pressure to detect small nodes
  • Palpating the nodes in a specific sequence
  • Using the fingertips to apply gentle pressure
  • Moving the fingers in a circular motion (correct)

What question might a nurse ask a client to assess their lymphatic system?

<p>Have you noticed any lymph nodes or lumps? (D)</p> Signup and view all the answers

What is an important characteristic to note when inspecting a client's hair?

<p>Hair being shiny, clean, and untangled (B)</p> Signup and view all the answers

What can cause thin and brittle hair?

<p>Hypothyroidism (D)</p> Signup and view all the answers

What might a nurse ask a client to assess their skin during a lymphatic system assessment?

<p>Have you noticed any changes in your skin? (B)</p> Signup and view all the answers

What is a potential sign of severe protein deficiency?

<p>Faded, reddish, or bleached hair colour (B)</p> Signup and view all the answers

Study Notes

Lymphatic System Assessment

  • Palpation is used to assess the lymphatic system, and the nurse should inform the client to report any pain or tenderness during the process.
  • Use the finger pads of two to three fingers, moving in a circular motion with light touch and gentle pressure, to avoid forcefully pushing the lymph node inwards.
  • Palpate in one spot, then shift fingers to a new spot within the same area, as lymph nodes are present in strands throughout the area.
  • Palpate bilaterally, comparing both sides, and ask the client about any pain or tenderness.
  • Assess the body's ability to regulate fluid and waste, noting any swelling, lymphoedema, or cellulitis.

Client Assessment Questions

  • When did the swelling start?
  • Have you noticed any lymph nodes or lumps on your head, neck, underarms, or groin area?
  • Have you noticed any changes in your skin?
  • Do you have any chronic conditions or diseases that affect your lymphatic system?
  • If yes, ask about other symptoms, particularly if noticeable lymph node changes or skin changes are present.

Hair Inspection Characteristics

Hair Characteristics

  • Should be shiny, clean, and untangled
  • Hypothyroidism can cause brittle, thin hair
  • Distribution: Facial and body hair
  • Color: Varies, with severe protein deficiency (Kwashiorkor) causing faded, reddish, or bleached hair

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Description

Learn how to use palpation to assess the lymphatic system, including the proper technique and considerations for the client's comfort. Understand the importance of palpation in this assessment.

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