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

A. Rovsing sign: This sign is positive when palpation of the left lower quadrant causes pain in the right lower quadrant, indicating possible appendicitis.

B. Psoas sign: This sign is positive when pain occurs upon extending the right thigh or flexing the hip against resistance, suggesting irritation of the psoas muscle due to appendicitis.

C. Murphy sign: This sign is associated with gallbladder inflammation (cholecystitis), not appendicitis.

D. Obturator sign: This sign is positive when pain occurs upon flexing and internally rotating the right thigh, which can indicate irritation of the obturator muscle due to appendicitis.

A. Reduce all environmental noise. B. Percuss the region before auscultating. C. Palpate the region before auscultating. D. Assist the client to a sitting position.

Correct Answer is A

Explanation

A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.

B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.

C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.

D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.

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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

When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

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

Explanation

The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Correct Answer is A

Explanation

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