NR304 / NR-304 Exam 1 Concept Study Guide (Latest
2025): Health Assessment II - Chamberlain
what are the functions of the lymph system?
.....ANSWER.....conserve fluid & plasma protiens that leak out of
capillaries
form a major part of the immune system that defends the body
against disease
absorb lipids from the small intestine
where is the lymph system located? .....ANSWER.....intervals along
the vessels
how is lymph fluid moved around in the body?
.....ANSWER.....along the pressure gradient
is lymph flow faster or slower than blood circulation?
.....ANSWER.....slower
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what is in lymph? .....ANSWER.....lypmh forms a completely
seperate vessel system that retrieves excess fluid & plasma
proteins from the interstitial spaces & returns to the bloodstream
what are the clinical manifestations of an enlarged lymph node
due to infection? .....ANSWER.....swelling
tenderness
what are the clinical manifestations of an enlarged lymph node
that is malignant? .....ANSWER.....hard, fixed, lumpy, immobile
when a client has enlarged lymph nodes, what questions would
you ask? .....ANSWER.....any swollen glands?
where in the body?
how long have you had them?
any recent changes?
how do they feel to you?
are they hard or soft?
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is there any pain associated with pain or local infections?
drain from head and neck .....ANSWER.....cervical nodes
drain from groin, lower extremity, external genitalia, anterior
abdominal wall .....ANSWER.....inguinal lymph nodes
antecubital fossa & drains the hand & lower arm
.....ANSWER.....epitrochlear lymph node
is it normal for a child's lymph nodes to be large and palpable?
.....ANSWER.....yes, normal in a health child, large & superficial
makes it palpable
how is lymph system and nonpitting (brawny) edema related?
.....ANSWER.....unilateral or bilateral edema occurs with
lymphatic obstruction. this causes the "brawny" or non pitting and
is hard to the touch
high protein swelling of the limb .....ANSWER.....lymphedema
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what causes lymphedema? .....ANSWER.....protein rich lymph
builds up in the interstitial spaces, which increases local colloid
oncotic pressure and promotes more fluid leakage
what are the clinical manifestations of lymphedema?
.....ANSWER.....self-reported sensations of tired, thick heavy arm,
jewelery too tight, swelling, tingling
objective data includes unilateral swelling, nonpitting brawny
edema, overlying skin indurated
hepatomegaly .....ANSWER.....enlarged liver
what is the cause of hepatomegaly? .....ANSWER.....alcohol abuse
liver Ca
CHF
hepatitis
fatty liver