ASSIGNMENT: Using your ICD-10-CM code book, apply the correct ICD-10-CM diagnosis code(s) to each. All documentation in the scenarios should be considered physician documentation. Remember, when the documentation indicates a patient was "admitted", you are required to use inpatient coding guidelines. Don't forget to verify your code as well as any instructional notes, etc. in the Tabular section so as to secure you have a valid code assignment.
SCENARIO #1: The patient was admitted to the hospital for monitoring of seizure-like spells. A 3 day workup was performed to observe the spells as they were occurring, however, there was not epileptic activity revealed. FINAL DIAGNOSIS: Transient alteration of awareness, seizure disorder was ruled out.
SCENARIO #2: Screening colonoscopy was performed with findings that were positive for sigmoid diverticulitis.
SCENARIO #3: Admission due to fever and cough. The patient was evaluated for bronchitis but no evidence for such was found.
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what are the jobs between the pre op team and the patient
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Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infection (PANDAS) is a group of disorders recently recognized as a clinical entity.
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The purpose of this assignment is to discover how social determinants affect the health of a particular population.
The first step of this assignment is to choose a location and disease process from the following list: An emergency department in New Orleans; addiction, hypertension management A rural tribal clinic in northeast Arizona; addiction, diabetes management A children's clinic in McAllen, TX; obesity, diabetes management
Describe the setting of your facility.
Describe the chosen population. Explain how social determinants affect the population's health status. Analyze how this health status affects the demand for health care. Provide one or two ways this health issue can be addressed.
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A. PYELONEPHRITIS A patient consulted in the emergency department with complaints of high fever, chills, dysuria, and back pain. Laboratory results are as follows: WBC – 13,000 cells/mcL Neutrophils – 10,000 per mm3 Lymphocytes – 3,500 per mm3 Serum Sodium – 136 mEq/L Serum Potassium – 3.7 mEq/L Urinalysis: Color: Hazy yellow Bacteria: Too many to count Pus cells: >100 cells/hpf RBC: >100 cells/hpf Specific gravity: 1.280 The doctor ordered co-trimoxazole (Bactrim) 800/160mg tablet TID for 14 days and phenazopyridine (Pyridium) 200 mg tablet TID for 3 days. Given the above case, answer the following questions: 1. What laboratory values point towards the diagnosis of Pyelonephritis? 2. What is the most common causative agent of urinary tract infections? 3. Give at least two (2) health teaching points that will help the prevention of recurrence of UTI? 4. Create a drug study for the medication: CO-TRIMOXAZOLE specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations 5. Create a drug study for the medication: PHENAZOPYRIDINE specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations A. GLOMERULONEPHRITIS A patient with cleft lip and bronchial asthma was brought to the emergency department with chief complaint of low-grade fever, puffiness of the face and eyes in the morning, +2 edema on both feet, and tea-colored urine. Urinalysis revealed numerous RBC and certain degree of proteinuria and Antistreptolysin-O titer reaches more than 300 todd units. The doctor came up with the diagnosis of Acute Glomerulonephritis (AGN). Answer the following questions: 1. What history-taking question should be asked by the nurse to strengthen the diagnosis of AGN? 2. Explain the pathophysiological tracing on the development of AGN. 3. The doctor ordered hydrocortisone TIV, create a drug study specifying the following: a. Drug classification b. Mechanism of action c. Indication (*for the case of the patient mentioned above) d. Contraindication e. Side effects f. Nursing Considerations B. RENAL CALCULI An elderly patient with osteoporosis consulted in an Out-patient Department with complaints of severe lower back pain. She is taking 1000 mg of calcium carbonate once a day and reports of poor hydration due to her mobility problems. Ultrasound of the Kidneys, ureters, and bladder reveal several calculi in both kidneys and is counselled to be a candidate for nephrolithotomy. Answer the following questions: 1. What pertinent data in the patient’s history may have contributed with the development of renal calculi, defend your answer? 2. Identify three (3) priority nursing diagnoses in relation to the patient’s condition and create a hypothetical Nursing Care Plans for each nursing diagnosis. 3. Identify at least two (2) health teaching points on the prevention of recurrence of renal calculi for the patient. C. RENAL FAILURE A patient with uncontrolled Type 2 Diabetes consulted in the emergency department due to shortness of breath, bipedal edema, palpitation, and decreased urinary output during the past 2 days. The following laboratory test values are presented: Serum Creatinine – 2.5 mg/dL BUN level – 30 mg/dL Serum potassium – 5.9 mEq/L HBA1C – 8% A diagnosis of Acute Renal Failure secondary to DM Nephropathy was made by the doctor. Sodium polyesterene sulfonate (Kayexalate) was ordered to normalize potassium level. Oral hypoglycemic agents were revised, and insulin therapy was started to manage the blood sugar level. Urine output is closely monitored for possible hemodialysis. Answer the following questions: 1. Explain the relationship of diabetes mellitus on the development of acute renal failure using a flow chart. 2. Identify three (3) nursing diagnoses pertinent to the patient’s condition and create hypothetical Nursing Care Plans (NCPs) for each nursing diagnosis. 3. Create a drug study for the medication: SODIUM POLYESTERENE SULFONATE specifying the following: g. Drug classification g. Mechanism of action h. Indication (*for the case of the patient mentioned above) i. Contraindication j. Side effects k. Nursing Considerations
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What would your reaction be if your attendance at a place of worship were to be documented by someone in authority (local, state, federal)?
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Whole Body, Muscles/Joints and skeletal system
In a well-organized, 1 – 2 page paper (225 – 450 words), chose one of the pathological conditions from this week's reading and discuss the following areas.
• Identify your pathological condition and explain what it is.
• Discuss some of the causes, signs, and symptoms associated with the chosen condition.
• Discuss ways the condition can be diagnosed and the treatment options.
• What are some lessons learned or what did you take away from completing this research?
Please proofread your work. Points will be deducted for incorrect grammar and spelling. The paper should be written in APA format.
Joints are no different than bones and muscles when it comes to being susceptible to pathological conditions. Some of these conditions are adhesive capsulitis, arthritis, ganglion, gout, Lyme disease, and osteoarthritis. All of these conditions have treatment options, but first, a medical professional may have to use one or many diagnostic techniques to determine the next step. These techniques include, but are not limited to, arthrocentesis (needle puncture; fluid removal), arthrography (X-ray using contrast), and rheumatoid factor (blood test).
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You are at a sports complex that has several events going on to include soccer, lacrosse, basketball and football. As you walk around and stop at the different games you spot different incidents occur that require the player t leave the field. These include a player holding there arm/shoulder, one unable to put weight on their foot/leg, one holding the area around the buttucks/upper thigh, one is holding the side of his head, and one is holding there stomach/side. Knowing what you know now about the bones, muscles and joints discuss in detail, what bones, muscles or joints are in these areas and what type of diagnostic technique could be used?
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in which case is the practice of using alcohol based hand rub when caring for patients contraindicated? select all that apply
A. nurse administers medication
b. nurse finishes taking vital signs and leaves the room of a patient on Standard Isolation
c. nurse is changing a wound
d. nurse is caring for a patient on contact plus isolation
e. nurse finishes cleaning a patients bed
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article 2 of the rights under the convention of the rights of the child talks about the rights of a child to be free from discrimination.in your own words, what does this mean in your role of an early childhood educator?
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How would you assess a patient who does not communicate verbally?
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access the national education and care services national regulations on the internet .locate some regulations that deal with providing care to children
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spend some time observing the children in your care setting. what do you notice about the cues that individual children demonstrate ?what do they mean?
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