Charting descriptions

Nursing Students Student Assist

Published

Hello, I am having difficulty coming up with descriptive words for lung sounds and heart sounds and bowel sounds in my charting without using the word "normal" which is off-limits by our instructor. Any ideas for describing something that sounds normal in other words??

Up Vote Up Vote ×
Specializes in School Nursing.

Lungs clear to auscultation (CTA) No wheezes, railes or (SOB) shortness of breath present. No stridor present.

Bowel sounds present, gastric motility noted.

Heart rate regular, strong....

Up Vote Up Vote ×

Thank you! That was easy enough. Except...what does the abbreviation CTA stand for?

Up Vote Up Vote ×
Specializes in Home Health Care,LTC.

Bowel sounds present in all 4 quads.

Up Vote Up Vote ×
Specializes in LTC.
Thank you! That was easy enough. Except...what does the abbreviation CTA stand for?

clear to auscultation

Up Vote Up Vote ×
Specializes in NICU.

Heart rate regular without murmur

Up Vote Up Vote ×
Specializes in med surg, tele, ortho, preop, recovery.

I have physical assessment on Thursday and we have to be descriptive and detailed as well.

Up Vote Up Vote ×
Specializes in DNAP Student.
I have physical assessment on Thursday and we have to be descriptive and detailed as well.

Heart sounds s1 = s2 " apical sounds s1=s2."

Bowel sounds = positive borborygmous " positive borborygmous sounds over RLQ"

normal breathing = eupniec " patient is eupniec."

Up Vote Up Vote ×
+ Add a Comment