Asked by Garrett Greene on Sep 25, 2024

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The nurse palpates swollen nodes in a patient's neck who presented to the clinic with complaints of fatigue lasting at least 2 weeks. What is the nurse's best action?

A) Advise patient this finding is normal.
B) Review patient's thyroid labwork.
C) Perform deep tendon reflexes.
D) Notify the healthcare provider.

Swollen Nodes

Enlarged lymph nodes often indicating an infection or sometimes, more serious conditions such as cancer.

Deep Tendon Reflexes

Physical reflexes involving a swift contraction of muscles in response to a sudden stretch, used as a diagnostic tool to assess the integrity of the nervous system.

  • Recognize the need for referral and further investigation when common symptoms like swollen nodes and fatigue present.
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MC
Mamata Chhetriabout 23 hours ago
Final Answer :
D
Explanation :
The nurse should notify the healthcare provider for further evaluation. Palpation is indicated to assess for the presence of lymphadenopathy, thyroid nodules or goiter. These findings could implicate the need to test further for cancer, thyroid disease or infection. These conditions should be ruled out by the healthcare provider. Thyroid nodules or changes in size indicate the need for further assessment of the thyroid. Deep tendon reflexes are part of a neuro-muscular examination and are not directly related to cervical node enlargement.