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 ["A","B","D"]

Explanation

Rationale:
A. Blood pressure pattern: Monitoring blood pressure patterns is essential for evaluating cardiovascular health as it provides information on hypertension or hypotension, which are significant for heart function.

B. Dyspnea: Dyspnea (difficulty breathing) can indicate cardiovascular issues such as heart failure, making it a relevant aspect of cardiovascular assessment.

C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide specific information about heart or vascular health.

D. Peripheral Edema: Peripheral edema (swelling in the extremities) can be a sign of cardiovascular problems like heart failure or venous insufficiency, thus important for cardiovascular assessment.

E. Constipation: Although constipation affects general health, it does not directly relate to cardiovascular assessment and is not typically included in this context.

A. It filters harmful substances from the body. B. It drains capillary blood from the circulation. C. It produces protective antibodies. D. It manufactures T lymphocytes.

Correct Answer is A

Explanation

A. It filters harmful substances from the body: The lymphatic system plays a crucial role in filtering lymph fluid and removing harmful substances, such as pathogens and toxins, through lymph nodes.

B. It drains capillary blood from the circulation: The lymphatic system does not directly drain capillary blood; instead, it collects interstitial fluid and returns it to the bloodstream.

C. It produces protective antibodies: Antibodies are produced by B lymphocytes in the immune system, not directly by the lymphatic system itself.

D. It manufactures T lymphocytes: While the lymphatic system is involved in the maturation and function of T lymphocytes, their manufacture occurs in the bone marrow and thymus rather than the lymphatic system itself.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?

Correct Answer is A

Explanation

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When performing a head-to-toe assessment, during which part would the nurse assess the sensory function of cranial nerve VIII?

Data collection occurs where in the nursing process?

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