Which of the following is the priority nursing care management for a client diagnosed with Wilm’s tumor?

America’s overall rate of voter turnout remains ___________________: the United States ranked 32nd in voter turnout among developed countries in 2016.  

Which of the following is a factor that Best predicts to whether or not an individual will vote (as discussed in this course)?

In democratic societies, one of the most crucial aspects of the relationship between dominant and subordinate classes is the inability of the dominant classes to define social values for the whole society.

Sociologists describe status as a non-traditional good

Choose the correct first-listed diagnosis code.

A patient was admitted with dizziness and headache. A CT scan of the brain showed an area of ischemia. The patient’s NIHSS registered at 26. The patient was discharged four days later with a diagnosis of dizziness. What diagnosis does the documentation suggest that is not provided in the diagnostic statement and what action should the coding professional take?

A coding professional has run across a procedure they have not coded previously. It is very complicated, and the coding professional is unsure how to code it. Which of the following is the ethical step for them to take?

Emergency Department – Patient 7Use the chart documentation below for questions 119-121.___________________________________________________________________________________________________________________________History and Physical ExamDATE: 7/16CHIEF COMPLAINT: Shortness of breath and dyspneaHISTORY (PROBLEM FOCUSED):HISTORY OF PRESENT ILLNESS:This 81-year-old presents today with complaints of shortness of breath and dyspnea. No cough or sputum production. No pleuritic chest pain or hemoptysis. She has vague complaints of some pain. She has been taking acetaminophen without much relief. Patient is accompanied by her daughter.PAST MEDICAL HISTORY:       COPD    Chronic hypoxic respiratory failure    History of lung cancerFAMILY HISTORY: Reveals that her mother has a history of migraines and depression.SOCIAL HISTORY: She does not smoke or use alcohol.MEDICATION: Albuterol inhaler 180mcg (2 puffs) inhaled orally every 4–6 hours; not to exceed 12 inhalations/24 hours; oxygen 2 liters.ALLERGIES: NonePHYSICAL EXAMINATION (PROBLEM FOCUSED):MDM: LowVITAL SIGNS: Blood pressure 136/82, pulse 94, respiratory rate 18, weight 100.5 pounds, oxygen saturation 97% on two liters, continuousGENERAL: Chronically ill-appearing, thin, elderly, white femaleHEENT: Pupils are minimally reactive. Bilateral arcus senilis. Oral cavity is grossly normal.NECK: No lymphadenopathyLUNGS: Decreased breath sounds. Prolonged respiratory phase. Scattered rales are heard at the lung bases.HEART: Distant heart sounds. Regular rhythm.ABDOMEN: Soft. Liver and spleen not enlarged.EXTREMITIES: Trace edema. No cyanosis or clubbing.RADIOLOGY: Chest x-ray ordered and reviewed without benefit of the radiologist’s report. Heart size is at the upper limits of normal. There is scarring and retraction in the right lower lung field. There are emphysematous changes noted. Previous pulmonary function studies are reviewed. LABORATORY: CBC ordered and all values within normal limits.ASSESSMENT:1. COPD2. Pain, multifactorial3. History of lung cancerFOLLOW-UP: Hydrocodone every 6–8 hours for pain. Follow-up with primary care provider in two weeks. Maintain current O2 levels at 2 liters.

A coding supervisor has reviewed the codes assigned on an account and returned it for a correction to a procedure code. The coding professional who originally assigned the codes does not agree with the suggested revision and has Coding Clinic guidance that supports the original code assignment. However, the coding professional does not want a quarrel with the coding supervisor and makes the change anyway. Is this ethical?