Nursing Documentation

Question 1

AAA

Answer 1

Abdominal Aortic Aneurysm

Question 2

Abd

Answer 2

Abdomen

Question 3

Ac

Answer 3

Before meals

Question 4

ACLS

Answer 4

Advanced Cardiac Life Support

Question 5

AD (2 answers)

Answer 5

Admitting diagnosis or Advance Directives

Question 6

A&D

Answer 6

Admission and Discharge

Question 7

Ad lib

Answer 7

As desired

Question 8

ADL

Answer 8

Activities of daily living

Question 9

Adm.

Answer 9

Administration

Question 10

AKA (2 answers)

Answer 10

Above-the-knee amputation or Alcoholic Ketoacidosis

Question 11

ALL

Answer 11

Acute Lymphocytic Leukemia

Question 12

Amb

Answer 12

Ambulation

Question 13

AP

Answer 13

Appendectomy

Question 14

A.P.

Answer 14

Anterior/Posterior

Question 15

AV

Answer 15

Atrioventricular

Question 16

Bid

Answer 16

Twice daily

Question 17

BKA

Answer 17

Below-the-knee amputation

Question 18

BLS

Answer 18

Basic Life Support

Question 19

BM

Answer 19

Bowel Movement

Question 20

BP

Answer 20

Blood Pressure

Question 21

BPH

Answer 21

Benign Prostatic Hyperplasia

Question 22

BUN

Answer 22

Blood Urea Nitrogen

Question 23

BX

Answer 23

Biopsy

Question 24

CABG

Answer 24

Coronary Artery Bypass Graft

Question 25

CAD

Answer 25

Coronary Artery Disease

Question 26

CBC

Answer 26

Complete Blood Count

Question 27

CCU

Answer 27

Cardiac Care Unit

Question 28

CF

Answer 28

Cystic Fibrosis

Question 29

CHF

Answer 29

Congestive Heart Failure

Question 30

CKD

Answer 30

Chronic Kidney Disease

Question 31

C/O

Answer 31

Complaining of

Question 32

COPD

Answer 32

Chronic obstructive pulmonary disease

Question 33

CPR

Answer 33

cardiopulmonary resuscitation

Question 34

C&S

Answer 34

Culture and Sensitivity

Question 35

CVA

Answer 35

Cerebrovascular Accident (Stroke)

Question 36

CVC

Answer 36

Central Venous Catheter

Question 37

D/C (2 answers)

Answer 37

Discontinue or discharge

Question 38

D&C

Answer 38

Dilatation and curettage

Question 39

DI

Answer 39

Diabetes Insipidus

Question 40

DIC

Answer 40

Disseminated Intravascular Coagulation

Question 41

DKA

Answer 41

Diabetic Ketoacidosis

Question 42

DM

Answer 42

Diabetes Mellitus

Question 43

DVT

Answer 43

Deep Vein Thrombosis

Question 44

DX

Answer 44

Diagnosis

Question 45

ECG or EKG

Answer 45

electrocardiogram

Question 46

ED

Answer 46

Emergency Department

Question 47

EENT

Answer 47

Eyes, Ears, Nose, and Throat

Question 48

ETT

Answer 48

Endotracheal Tube

Question 49

FBS

Answer 49

Fasting Blood Sugar

Question 50

Fx

Answer 50

Fracture

Question 51

GI

Answer 51

Gastrointestinal

Question 52

Gtt or G.T.T.

Answer 52

Glucose Tolerance Test

Question 53

HOB

Answer 53

Head of Bed

Question 54

HR

Answer 54

Heart Rate

Question 55

HS

Answer 55

Bedtime

Question 56

Hx

Answer 56

History

Question 57

ICU

Answer 57

Intensive Care Unit

Question 58

I&O

Answer 58

Intake and Output

Question 59

LES

Answer 59

Lower Esophageal Sphincter

Question 60

LMP

Answer 60

Last Menstrual Period

Question 61

LOC

Answer 61

Level of Consciousness

Question 62

LP

Answer 62

Lumbar Puncture

Question 63

LPN

Answer 63

Licensed practical nurse

Question 64

LVN

Answer 64

Licensed vocational nurse

Question 65

MAP

Answer 65

Mean Arterial Pressure

Question 66

MRI

Answer 66

Magnetic Resonance Imaging

Question 67

MVA

Answer 67

Motor Vehicle Accident

Question 68

NGT

Answer 68

Nasogastric Tube

Question 69

NKA

Answer 69

No known allergies

Question 70

NPO

Answer 70

Nothing by mouth

Question 71

O2

Answer 71

Oxygen

Question 72

OA

Answer 72

Osteoarthritis

Question 73

OB

Answer 73

Obstetrics

Question 74

OOB

Answer 74

Out of bed

Question 75

OR

Answer 75

Operating room

Question 76

Ortho

Answer 76

orthopedics

Question 77

OT

Answer 77

occupational therapist/therapy

Question 78

Pc

Answer 78

After meals

Question 79

PFT

Answer 79

Pulmonary Function Test

Question 80

PLT

Answer 80

Platelets

Question 81

PRBC

Answer 81

Packed Red Blood Cells

Question 82

Pre-op

Answer 82

Before surgery

Question 83

Pm or PRN

Answer 83

As needed

Question 84

PT

Answer 84

Physical therapist or physical therapy

Question 85

PTCA

Answer 85

Percutaneous Transluminal Coronary Angioplasty

Question 86

PVC

Answer 86

Premature Ventricular Contraction

Question 87

RA

Answer 87

Rheumatoid Arthritis

Question 88

RBC

Answer 88

Red Blood Cells

Question 89

RN

Answer 89

Registered Nurse

Question 90

ROM

Answer 90

Range of Motion

Question 91

RT

Answer 91

Respiratory Therapist

Question 92

SBAR

Answer 92

Situation, background, assessment, and recommendation

Question 93

SIADH

Answer 93

Syndrome of Inappropriate Antidiuretic Hormone Secretion

Question 94

SLE

Answer 94

Systemic Lupus Erythematosus

Question 95

SOB

Answer 95

Shortness of breath

Question 96

SSE or S.S.E

Answer 96

Soap Suds enema

Question 97

Stat

Answer 97

At Once, immediately

Question 98

STD

Answer 98

Sexually transmitted disease

Question 99

TB

Answer 99

Tuberculosis

Question 100

TIA

Answer 100

Transient Ischemic Attack

Question 101

Tid

Answer 101

Three times daily

Question 102

TPN

Answer 102

Total Parenteral Nutrition

Question 103

T&S

Answer 103

Type and Screen

Question 104

TURP

Answer 104

Transurethral Resection of the prostate

Question 105

UA

Answer 105

Urinalysis

Question 106

UAP

Answer 106

Unlicensed assistive personnel

Question 107

US

Answer 107

Ultrasound

Question 108

UTI

Answer 108

Urinary Tract Infection

Question 109

VS

Answer 109

Vital Signs

Question 110

WBC

Answer 110

White Blood Count

Question 111

WNL

Answer 111

Within normal limits