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.
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Related Questions
Correct Answer is D
Explanation
A. It is easiest for the client to learn: While the ease of learning is important, the primary goal is effective detection of masses.
B. It takes the least amount of time: The time taken is less critical than the effectiveness of the technique in detecting abnormalities.
C. It causes the least amount of pain: Minimizing pain is not the main reason for choosing a particular technique; effectiveness in detecting masses is more critical.
D. It is the best technique to detect masses: The recommended pattern, often the vertical strip or circular pattern, is chosen because it is the most effective way to systematically cover the breast tissue and increase the likelihood of detecting abnormalities or masses.
Correct Answer is C
Explanation
A. II: A grade II murmur is generally faint but still audible with the stethoscope in place.
B. III: A grade III murmur is moderately loud and can be heard with the stethoscope without applying extra pressure.
C. I: A grade I murmur is very faint and might be heard only with careful listening and with the stethoscope placed carefully.
D. X: There is no grade X murmur in the standard grading scale for heart murmurs.
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