documentation

Question 1

a problem oriented medical record

Answer 1

uses progress notes that can be shared among the team

Question 2

AC is the abbreviation for

Answer 2

before meals

Question 3

NPO is the abbreviation for

Answer 3

nothing by mouth

Question 4

ad lib is the abbreviation for

Answer 4

at liberty or freely

Question 5

charting by exception (CBE)

Answer 5

only chart unexpected findings

Question 6

subjective, objective, assessment, plan (SOAP)

Answer 6

used for problem oriented charting

Question 7

NKA abbreviation

Answer 7

no known allergies