Which statement about lymph node examination is true?

Which statement about lymph node examination is true?

• A. Superficial nodes should be palpated deeply with fingertips
• B. Deep cervical and supraclavicular nodes are palpated first
• C. Light palpation of superficial nodes with pads is appropriate
• D. Use the fingertips to apply deep palpation

Answer: (C)

When assessing lymph nodes, begin with light palpation of superficial nodes using the pads of the fingers in gentle circular motions. This approach works because these nodes lie just under the skin, and light pressure is enough to detect enlargement, tenderness, and mobility without causing discomfort. Deep palpation is used only if deeper nodes need evaluation, and it’s performed with more pressure and often with both hands or the whole hand, not by probing superficial nodes with the fingertips. Starting with deep cervical or supraclavicular nodes first can miss subtle superficial findings and is more uncomfortable. Using the fingertips for deep palpation isn’t appropriate because fingertips are best for light, superficial touch. Therefore, light palpation of superficial nodes with the pads of the fingers is appropriate.

When assessing lymph nodes, begin with light palpation of superficial nodes using the pads of the fingers in gentle circular motions. This approach works because these nodes lie just under the skin, and light pressure is enough to detect enlargement, tenderness, and mobility without causing discomfort. Deep palpation is used only if deeper nodes need evaluation, and it’s performed with more pressure and often with both hands or the whole hand, not by probing superficial nodes with the fingertips. Starting with deep cervical or supraclavicular nodes first can miss subtle superficial findings and is more uncomfortable. Using the fingertips for deep palpation isn’t appropriate because fingertips are best for light, superficial touch. Therefore, light palpation of superficial nodes with the pads of the fingers is appropriate.