The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?
History of present illness
Initial Information
Review of Systems
Health Patterns
The Correct Answer is A
A. History of present illness: The OLD CART mnemonic is used to evaluate the characteristics of a symptom, which is documented under the history of present illness.
B. Initial Information: This section includes basic demographic and background information rather than detailed symptom analysis.
C. Review of Systems: This section includes a systematic review of body systems and their functions, not the detailed attributes of a specific symptom.
D. Health Patterns: This section covers the client’s overall health patterns and lifestyle but not the detailed attributes of a specific symptom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Diverticulosis: This condition involves the formation of pouches in the colon and is not associated with Murphy's sign.
B. Nephrolithiasis: This refers to kidney stones and is not associated with Murphy's sign.
C. Acute Cholecystitis: Murphy's sign is a clinical test for acute cholecystitis, which is inflammation of the gallbladder. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.
D. Appendicitis: Appendicitis is an inflammation of the appendix and is not related to Murphy's sign.
Correct Answer is C
Explanation
A. XII: Cranial nerve XII (hypoglossal) controls tongue movements, but is not typically assessed by the technique described.
B. V: Cranial nerve V (trigeminal) is assessed for facial sensation and mastication, not the technique in question.
C. VII: Cranial nerve VII (facial) is responsible for facial expressions and is assessed by asking the client to perform various facial movements.
D. XI: Cranial nerve XI (accessory) is involved in shoulder and neck movements, not facial expressions.
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