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healthAssess2Lymph
lymphatic system
| Question | Answer |
|---|---|
| Lymphatic tissues are found abundantly throughout the body except in what two places? | the placenta and the brain (central nervous system). |
| The predominant formed elements of normal lymph fluid are: | white blood cells |
| Cells that line the lymph node sinuses perform the specific function of: | phagocytosis |
| Lymph ducts merge into the venous system at the: | subclavian vein |
| Lymph flows faster in response to: | massage |
| Lymph flow _______ with mounting capillary pressure, greater permeability of the capillary walls, increased metabolic rate, and massage. | increases |
| An increased number of lymphocytes in the blood represent a systemic response to most _____ infections. | viral |
| An organ that is essential to the development of protective immune function in the infant but has little or no demonstrated function in the adult is the: | thymus |
| The examination of the upper left quadrant of the abdominal cavity is essential to the evaluation of the immune system because of the location of which organ? | spleen |
| Enlarged tonsils and adenoids may obstruct the: | nasopharyngeal passageway. |
| When enlarged, which lymph nodes are most likely to be a sign of malignancy? | supraclavicular |
| Which lymphatic tissue is normally visible during the physical examination? | Palatine tonsils |
| Lymphoid tissue normally regresses to adult size by: | puberty |
| A congenital defect in the immune system of a 2-week-old infant may be suspected if: | the umbilical cord has not yet dropped off. |
| During pregnancy, leukocyte count normally increases because of more: | polymorphonuclear leukocytes. |
| As adults age, their ability to resist infection decreases due to lymphatic nodes becoming more: | fibrotic |
| Which part of the hand is used to assess lymph node size? | pad of the fingers |
| Providing health care, as a work-related risk for HIV infection, is considered rare. True or False? | true |
| Equipment for examining the lymphatic system includes a: | centimeter ruler |
| Which nodes are most often associated with inflammation? | tender |
| Nodes located nearest the palatine tonsils are the: | retropharyngeal. |
| Nodes that are palpable just inferior to the chin are the: | submental. |
| Nodes located nearest the elbow are the: | epitrochlear. |
| Which landmark is the dividing line between the anterior and posterior cervical triangles? | Sternocleidomastoid |
| Which nodes are also called Virchow nodes? | supraclavicular |
| The harder and more discrete a node, the more likely a(n): | malignancy |
| Normal supraclavicular lymph nodes are: | not palpable |
| Which of the following findings indicate that the examiner is assessing a blood vessel rather than a lymph node? | bruit |
| Transillumination is done during an examination of the lymphatic system to: | distinguish nodes from cysts. |
| Nodes located at the base of the skull are the _____ nodes. | occiptial |
| Nodes located over the mastoid process are the _____ nodes. | postauricular |
| When examining lymph nodes near a joint in the arm or leg, which of the following maneuvers is likely to facilitate the examination? | Flexion of the extremity |
| When examining the epitrochlear nodes, which joint should be supported? | elbow |
| Palpation of the scalene triangle for supraclavicular nodes should be done with: | fingers hooked over the clavicle beside the sternocleidomastoid muscle. |
| To palpate inguinal nodes, you should have the patient: | lie supine, knees slightly flexed. |
| It is not unusual to find postauricular and occipital nodes in: | children younger than 2 years of age. |
| Large palatine tonsils are common in: | children |
| Obstruction of the nasopharynx, pulmonary hypertension, and risk of sleep apnea may be associated with excessively enlarged: | palatine tonsils. |
| The most important clue to the diagnosis of a child with immune deficiency disease is: | serious recurring infections. |
| A red streak that follows the course of the lymphatic collecting duct is a finding associated with: | lymphangitis |
| To find the infection site associated with acute lymphangitis, the examiner should look _____ to the inflammation. | distal |
| The most common causes of acute suppurative lymphadenitis are: | streptococci and staphylococci organisms. |
| Which disorder is characterized by a single node that is chronically enlarged and nontender in a patient with no other symptoms? | taxoplasmosis |
| Initial signs and symptoms of Epstein-Barr virus mononucleosis most often include: | pharyngitis, fever and malaise |
| Enlarged inguinal nodes are likely to be associated with: | genital herpes |
| Tender nodes associated with cat scratch disease are most commonly found in what area? | axilla |
| Which disorder is a dysfunction of cell-mediated immunity? | acquired immunodeficiency syndrome |
| Serum sickness is usually characterized first by the appearance of: | uticaria |
| What is the most frequent cause of edema of the lower extremities? | Prolonged sitting or standing |
| The nurse explains to her patient with lymphadenopathy not to rub the swollen lymph node because this could result in: | enlarging the node. |
| If the lymphatic return is blocked: | collateral collecting channels develop |
| Antibodies produced by attack invaders create which of the following type of immunity? | Cellular immunity |
| The spleen is comprised of which of the following? | Venous sinusoids |
| A 19-year-old male has a severe infection involving the fifth digit of the right hand. Where should the examiner expect to palpate enlarged and tender lymph nodes? | The medial condyle of the humerus |
| A 2-month-old infant is brought to the clinic for immunizations. The examiner palpates enlarged inguinal nodes. What additional finding might explain the enlarged nodes? | The infant has a severe diaper rash. |
| Ms. Littner is a 17-year-old patient with a complaint of fatigue. It is important for the examiner to assess the lymph nodes. Which of the following methods best describes how to assess supraclavicular lymph nodes? | Palpate deeply behind the clavicles as the patient flexes his head forward. |
| In addition to the head, neck, axilla, and inguinal areas, the examiner may also assess lymph nodes: | the popliteal region |
| Mrs. Morrison is a 56-year-old patient who presents to your office. On palpation of her superficial lymph nodes, you find them: | In the subcutaneous connective tissue. |
| During pregnancy, which of the following occurs to create increased susceptibility to infection? | Shift from cell-mediated to antibody production |
| Which is a type of blood cell that has a life span of 100 to 200 days? | t-cells |
| The tonsils located near the base of the tongue are the: | lingual tonsils |
| Mrs. Cousins is a 35-year-old patient who presents to your clinic. Your diagnosis is acute cervical lymphadenitis. Which of the following is the most likely etiology? | Group A beta-hemolytic strep |
| Which of the following examination findings is cause for greatest concern in an adult? | Palpable supraclavicula |
| A patient with tuberculosis with apparent enlarged palpable nodes is most likely to have which finding? | Cold, nontender lymph nodes |
| Mrs. Doh presents to your office with her 7-year-old son. Because of his religion, he has not had routine immunizations. You are concerned that he has mumps. Which of the following would help differentiate mumps from cervical adenitis? | Palpating the angle of the jaw |
| Characterized by a large, tender, firm node with overlying tissue that is swollen and red | Acute suppurative lymphadenitis |
| Manifested in a young child who has fever, is restless and drooling, and sits up and hyperextends his neck to breathe | Retropharyngeal abscess |
| Nonpitting edema to the extremities with thick overlying skin | Lymphedema |
| Red streaking moving up an extremity; accompanied by fever | Acute lymphangitis |
| Nodal enlargement lasting longer than 3 weeks in a young child | Cat scratch fever |
| Asymmetric enlargement of the cervical lymph nodes, which are rubbery, nonpainful, and in various sizes | Hodgkin disease |
Created by:
TwiggyG85