CHARTING TERMS 1. Amounts- Match the factor

CHARTING TERMS 1. Amounts- Match the factor to be charted with the suggested terms to use. Prompts large amount moderate amount Answer Profuse, copious, free, excessive, measured amount Small amount, scanty, slight, very little, measured amount. 2. Back Area- Match the factor to be charted with the suggested terms to use. Prompts upper back small of back end of spine gluteal area sway back Answers lumbar region lordosis coccyx region buttocks inter scapular region, shoulder area 3. Dressings- Match the factor to be charted with the suggested terms to use. Prompts a second dressing added to the first dressing removed, another applied drain tubes cut off Answers drain tubes shortened ( number of inches ) dressing reinforced dressing changed 4. Consistency- Match the factor to be charted with the suggested terms to use. Prompts retains its shape watery thick, sticky or glue-like containing or resembling mucous Answers mucoid formed liquid concentrated, tenacious 5. Defecation- Match the factor to be charted with the suggested terms to use. Prompts bowel movement( material or act of ) frequent liquid defecation gray-cloloured stool dark brown liquid stool formed, yet soft stool formed with hardened faces stool with blood in it Answers tarry, blood streaked (melena ) highly coloured liquid stool feces, stool defecation diarrhea hard-formed stool clay-coloured stool soft-formed stool 6. Emesis- Match the factor to be charted with the suggested terms to use. Prompts ejected to few feet distant if blood is only noticeable agent given to produce emesis Answers emetic blood-tinged projectile 7. Face-Match the factor to be charted with the suggested terms to use. Prompts without colour pink broken out Answers pale erythematous flushed 8. Consciousness- Match the factor to be charted with the suggested terms to use. Prompts aware of surroundings lack of awareness of environment responds to stimuli aroused by intense stimuli unconscious, cannot be aroused Answers comatose drowsiness stupour wakefulness 9. Fever-Match the factor to be charted with the suggested terms to use. Prompts without fever fever, temperature above normal temperature greatly above normal elevated temperature suddenly returning to normal elevated temperature gradually returning to normal Answers afebrile pyrexia, febrile hyperpyrexia crisis lysis 10. Appetite- Match the factor to be charted with the suggested terms to use. Prompts loss of appetite belching Answers eructation anorexia 11. Abdomen- Match the factor to be charted with the suggested terms to use. Prompts large and extends outward black or blue marks present hard, boardlike soft, flabby, flat hurts when touched appears swollen, rounded presence of rash filled with gas Answers sensitive to touch, tender tympanic rash present (mild, severe) hard, rigid enlarged, protruding bruised relaxed, flaccid, flat distended 12. Bleeding- Match the factor to be charted with the suggested terms to use. Prompts very little nosebleed blood in vomitus blood in urine spitting of blood when bleeding is stopped Answers hematemesis hemorrhage controlled hemoptysis oozing hematuria epistaxis 13. Cough- Match the factor to be charted with the suggested terms to use. Prompts cough all the time coughing over long period of time coughs up material occurring is spasms coughs quite often cough that does not produce material from lungs occurs in paroxysms or attacks Answers persistent cough nonproductive cough paroxysmal cough frequent cough spasmodic cough continuous cough productive cough 14. Attitude- Match the factor to be charted with the suggested terms to use. Prompts not interested in surroundings has ‘don’t care” attitude doesn’t believe anything said to her quarrelsome, disagreeable afraid, worried seems to have weight-of-world on his shoulders happy, carefree, cheerful Answers cheerful, optimistic very serious minded anxious, fearful, apprehensive belligerent, quarrelsome, disagreeable indifferent suspicious, distrustful apathetic 15. Gums-Match the factor to be charted with the suggested terms to use. Prompts inflammation of the gums pulling away from teeth health looking spongy Answers gingivitis spongy receding, shrunken pink, firm 16. Gas-Match the factor to be charted with the suggested terms to use. Prompts gas in the digestive tract distention caused by accumulation of gas Answers flatus flatulence 17. Appearance- Match the factor to be charted with the suggested terms to use. Prompts thin and undernourishment fat, greatly overweight seems very sick not very sick Answers emaciated obese not acutely ill acutely ill 18. Drainage- Match the factor to be charted with the suggested terms to use. Prompts watery from nose containing pus bloody consists of feces of lymphatic fluid contains mucus and pus Answers coryza mucopurulent purulent fecal serous sanguineous HYGIENCE 1. Dry skin is especially bothersome during adolescence. A) True B) False 2. Instruct the client to use cotton tipped swab to remove impacted cerumen. A) True B) False 3. The odour of perspiration occurs when bacteria acts on the skin’s normal secretions. A) True B) False 4. When bathing lower limbs wash from ankle to groin with firm strokes to promote venous return. A) True B) False 5. When providing perineal care for an uncircumcised male client, the foreskin should be retracted while washing the penis, then returned. A) True B) False 6. Which action is appropriate when providing care for eye glasses. A) dry with facial tissue B ) place on overbed table when not in use C) clean with hot soapy water D) dry with a soft clean cloth 7. Which action is appropriate when a client uses a hearing aid? A) cleaning inner ear with cotton-tipped swabs B) ear pieces cleaned with hot soapy water c) batteries checked annually D) turn hearing aid off when not in use 8. Which action should the nurse use when providing perineal care? A) Use a clean portion of the washcloth for each stroke B) Proceed from most contaminated to least contaminated area C) Use sterile gloves D) Leave the foreskin undisturbed in an uncircumcised male 9. Which action is the nurse’s responsibility when providing foot care to an older client? A) using scissors to correct an ingrown toe nail B) using an alcohol rub if the feet are dry c) wash the feet at least daily D) trimming toenails as short as possible 10. When caring for a client with dentures, what should the nurse tell the client? A ) A brush and nonabrasive powder should be used to clean the dentures, and hot water should be used to rinse them. B) Dentures should never be stored in water because the plastic material may warp. C) Dentures should be wrapped in tissue or a disposable wipe when out of the mouth, and stored in a disposable cup. D) Keeping dentures out of the mouth for long periods of time permits the gum line to change, affecting denture fit. 11. A client asks the nurse if he can be bathed sitting in a chair. What response is the best one? A) “Since you are more comfortable in the chair, will be happy to assist you there.” B) “This is against hospital policy and not how I’ve been taught.” C) “I’m sorry. I’m only allowed to bathe you in the bed.” D) “My teacher would be upset to see me bathing you in the chair.” 12. A client refuses to bathe saying “I’m not dirty.” What is your best response? A) “If you don’t have a bath now, I’m not sure when I’ll be able to help you again.” B) “The bath will stimulate your circulation, relax and refresh you.” C) “This is a daily routine that every client must comply with.” D) “The doctor and my supervisor expect me to help you today.” 13. Performing a back rub on a client after a bed bath gives the nurse an opportunity to perform what assessment? A) assess the area for venous stasis or contracture B) assess the client response to the bed bath C) assess the client socioeconomic status D) assess the area for impaired circulation or skin breakdown 14. When bathing a client’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. Which rationale supports this nursing action? A) Avoids undue strain on the nurse B) Causes vasoconstriction and increases circulation C) Provides an opportunity for skin assessment D) Increases venous blood return 15. When bathing a client’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. Which rationale supports this nursing action? A) clean from back to front B) apply Vaseline to groin area C) spread labia with non-dominant hand D) use powder liberally

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