Lymphatic System Assessment

8 Questions

To alert the client of potential discomfort during palpation

Light touch with gentle pressure

To compare the right side to the left side

When did the swelling start?

Shiny, clean, and untangled

Hypothyroidism

Distribution

Severe protein deficiency

Study Notes

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.

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.

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