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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Secondary Prevention: This level focuses on early detection and treatment of diseases, such as screenings or exams, rather than promoting healthy behaviors.

B. Primary Prevention: This level involves strategies to prevent disease before it occurs, including promoting healthy lifestyles through exercise and nutrition.

C. Tertiary Prevention: This level aims to manage and improve quality of life for individuals with existing diseases to prevent complications, rather than preventing disease onset.

D. Educational Prevention: This term is not a standard classification in prevention levels; it refers to educational efforts but does not specifically align with the established levels of prevention.

A. Vesicular B. Tracheal C. Bronchial D. Bronchovesicular

Correct Answer is A

Explanation

A. Vesicular: Vesicular breath sounds are normal and are heard over most of the lung fields. They are soft and low-pitched.

B. Tracheal: Tracheal breath sounds are harsh and high-pitched, typically heard over the trachea rather than over most of the lung fields.

C. Bronchial: Bronchial breath sounds are loud and high-pitched, usually heard over the trachea and larynx, not over most lung areas.

D. Bronchovesicular: These sounds are heard between the sternum and the interscapular area but are not as commonly heard over most of the lung fields compared to vesicular sounds.

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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?

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