The nurse would palpate the axillae during examination of which area?

Anterior chest

Breasts

Heart

Neck

Answer and Explanation

The Correct Answer is B

A. Anterior chest: While the anterior chest examination is important, axillary palpation is more specific to the breast area.

B. Breasts: Palpation of the axillae is part of the breast examination to check for lymph nodes or masses.

C. Heart: The heart is assessed through auscultation and palpation of the chest, not the axillae.

D. Neck: The neck examination does not typically involve palpation of the axillae.

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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. History of present illness B. Initial Information C. Review of Systems D. Health Patterns

Correct Answer is A

Explanation

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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The nurse would palpate the axillae during examination of which area?

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 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?

Correct Answer is A

Explanation

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