This 65-year-old chronic cigarette smoker for the past 40 years was admitted to the hospital with acuteexacerbation of her chronic obstructive pulmonary disease. She has a history of anxiety syndrome due tohypothyroidism, and is maintained on medications for both the anxiety and the hypothyroidism. Nosymptomatology at the time of admission. On hospital day two, she developed extreme anxiety and apsychiatric consultation was ordered. What codes are assigned in this case?ICD-10-CM Codes with POA Indicator -

The Present On Admission (POA) are set up so as to guide how to apply the POA Indicators in the…

Answered: This 65-year-old chronic cigarette…

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Outpatient And Physician Office Coding

Section: Chapter Questions

Problem 16MC

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you are assigned to care for a 56-year postoperative patient with a history of type 2 diabetes. Upon returning from physical therapy this morning, your patient reports sweating, shakiness, paresthesia, and anxiety. You should?
Mary Smith is a 67-year-old, newly widowed, individual who has recently been diagnosed with congestive heart failure and advanced chronic pulmonary obstructive disease. After the early death of her husband, she was employed for several years as a secretary for a corporate lawyer. Though she was a "heavy" smoker for several years, she had not smoked in the past three years. She has two adult children, both very concerned about their mother's health. Both children are married, have teenage children, and live within 100 miles of Mrs. Smith. Mrs. Smith expresses concern about her future health care needs, primarily when she is not able to make decisions for herself. She tells you that she does not want to be kept alive on machines and desires to die as "naturally and painlessly" as possible. When asked, she tells you that she has discussed none of her desires or wishes with her family members and wonders how to best open such discussions. She is afraid that her family will not abide by her…
R9. N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Do ASAP.
N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
CASE: H.I, a 60-year-old male office worker was admitted to the emergency room due to complaints of severe chest pain whileat work. The pain was relieved by taking nitroglycerin and thrombolytics. The patient also complained of easy fatigabilityand inability to perform heavy tasks at home and work. 3 weeks ago, the patient experienced chest pain after doingmoderate heavy chores while at home. This occurred 3 times and was relieved by rest. The patient also experience shortnessof breath when climbing stairs or walking long distances. The patient has been taking maintenance medication forhypertension. The patient was diagnosed with myocardial ischemia secondary to coronary artery disease 1. What are the risk factors/ causes of the medical condition?2. What are the ways to prevent these risk factors/ causes?3. What is the effect of aging on the body system involved?
Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/Sir
Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Mr. Doe was very restless the evening before. He verbalizes to his wife that he is “scared to death” and worried about losing his foot. She asks the nurse what can be done to help him. How will the nurse address the psychological comfort of Mr. Doe? (Discuss in 2-3 sentences only)
Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Dr. Ramos is Mr. Doe’s surgeon and Dr. Reyes is Mr. Doe’s anesthesiologist. Both come to see him and discuss the surgery the evening before. How does the nurse ensure informed consent? What must the patient consent to for the procedure to be done? (Discuss in 5-6 sentences)
A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? A. The patient is somnolent with decreased response to the family. B. The patient suddenly complains of chest pain and shortness of breath. C. The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs. D. The patient has a fever, chills, and loss of appetite.
Case scenario:Maria, a 55 year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, Maria has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At a clinic visit today, prednisone is prescribed for 4 weeks and the order is written as follows:Day 1: 1 tablet four times a dayDay 2: 1 tablet three times a dayDay 3: 1 tablet two times a dayDay 4: 1 tablet in the morningDay 5: ½ tablet in the morningQuestions:1. Explain the purpose for the use of prednisone during the asthmatic attack. Explain why the dosage is decreased (tapered) over a period of 5 days.2. Can Cromolyn sodium be substituted for prednisone during the asthmatic attack? Explain your answer.
Patient John lives at home with his child Sam. John has a history of Alzheimer’s Disease, NIDDM, AF, GORD, CCF, mild depression, and previous hernia and AAA repair and one week ago was diagnosed with advanced CA of the liver and metastases in the pancreas, lungs, and brain. Two weeks ago, John was bought into ED by his daughter with a history of new confusion, fevers, and rash, refusing diet and fluids for the previous two days and was jaundiced in colour. Jo deteriorated with sepsis. He experienced a cardiac arrest in ED. Following resuscitation, John was transferred to intensive care. He underwent further investigations and was diagnosed with advanced CA of the liver with metastases in the pancreas, lungs, and brain. John’s family then requested no further active treatment and asked that he be discharged home with support from the community nurses. Find 2 nursing problems with high priority for John and For the nursing problem of highest importance: Establish a minimum 3 goals for…
Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific).

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