Next Generation (Drop Down Select) Question. Please use the…
Next Generation (Drop Down Select) Question. Please use the blank space to answer the following 4 questions. (For example: write 1 = A, 2 = A, 3= A, 4= A). You must select all 4 correctly in order to earn 1 point. A 7-year-old child with a history of moderate persistent asthma presents to the clinic with increased nighttime coughing, shortness of breath during play, and albuterol inhaler use more than four times per week. The parent says, “We’ve been using the rescue inhaler a lot more lately, and it’s not working as well.” The nurse performs an assessment: Respiratory rate: 28/minHeart rate: 112 bpmSpO₂: 94% on room airMild wheezing heard bilaterally 1. 1. The nurse interprets that this child is likely experiencing: A. Well-controlled asthmaB. Mild intermittent asthmaC. Poorly controlled asthmaD. An asthma exacerbation requiring hospitalization 2. Which action should the nurse take first?A. Administer a prescribed short-acting beta-agonist (SABA)B. Encourage the parent to continue rescue inhaler use as neededC. Instruct the child to increase physical activity D. Reassure the parent that symptoms are common at this age 3. Which education topic is most appropriate based on the child’s current symptoms?A. Daily use of albuterol to prevent asthma attacksB. Proper use of a peak flow meter and asthma action plan C. When to initiate step-down therapyD. Signs of well-controlled asthma 4. The nurse should anticipate the provider will:A. Decrease the child’s controller medicationB. Discontinue the use of rescue medicationC. Add or adjust the controller medication for better long-term controlD. Refer the child for psychological evaluation
Read DetailsPiper is a 5-year-old, 28.6 lbs., admitted to the hospital w…
Piper is a 5-year-old, 28.6 lbs., admitted to the hospital with a history of vomiting and diarrhea. Piper is not tolerating oral fluids and thus kept NPO. She has responded well to maintenance IV D5 ½ NS. The nurse knows that the IV fluids are given based on Piper’s body weight to maintain her fluid/electrolyte balance. What is Piper’s hourly IV fluids infusion rate? Usual Weight Hourly Daily Up to 10 kg 4mL/kg/hr 100 mL/kg/day 11-20 kg 40 mL + 2mL/kg for every> 10 kg 1000 mL +50 mL/kg/day for every kg>10 > 20 kg 60 mL +1 mL/kg for every kg> 20 kg 1500 mL +20 mL/kg/day for every kg >20
Read DetailsUsing your CPT coding manual, assign the correct code(s) for…
Using your CPT coding manual, assign the correct code(s) for the procedure(s). Enter your answers in the appropriate fields below as follows: If entering more than one code, separate your codes by a comma, and a space (ie. 22222, 33333) If using modifiers, use a dash without spaces (ie. 55555, 55554-RT, 55553) Preoperative diagnosis: Leukemia, in remissionPostoperative diagnosis: SameProcedure: Tunneled venous access port removal Reason for procedure: This 8-year-old male completed chemotherapy. The patient was prepped and draped in the normal sterile fashion. His right side was anesthetized, and an incision was made above the port area. The port was a tunneleddevice with a subcutaneous port that was peripherally inserted. The incision was taken down to the device, which was freed. The retention sutures were identified and cut.After confirmation that the device was free, it was removed. Hemostasis was obtained, and the wound was closed in layers using 3-0 nylon. A sterile dressing was appliedto the area. Patient vitals were taken, and the patient was noted to be stable. He was sent to the recovery room in stable condition. CPT Code(s): Enter the coding path you followed in the index to get to your code(s)
Read DetailsUsing your CPT coding manual, assign the correct code(s) for…
Using your CPT coding manual, assign the correct code(s) for the procedure(s). Enter your answers in the appropriate fields below as follows: If entering more than one code, separate your codes by a comma, and a space (ie. 22222, 33333) If using modifiers, use a dash without spaces (ie. 55555, 55554-RT, 55553) Preoperative and postoperative diagnosis: Cardiac ischemia Procedure: Thoracotomy for transmyocardial laser revascularization Anesthesia: General The patient was prepped and draped in the usual sterile fashion and placed under general anesthesia. A 12-cm incision was made on the left side of the chest. The incision was made between the ribs and was carried down to expose the heart’s surface. An ischemia was visualized on the right side of the heart. The laser was inserted into the cardiac area, and between heartbeats, 15 channels were made and pressure was applied to close the opened areas. Prior to closure of the incision, there was no significant bleeding from the cardiac tissue. The laser was removed, the incision was closed, and dressings were placed on the wound. The patient tolerated the procedure with no complications and was sent to the recovery area in stable condition. CPT Code(s): Enter the coding path you followed in the index to get to your code(s)
Read DetailsUsing your CPT coding manual, assign the correct code(s) for…
Using your CPT coding manual, assign the correct code(s) for the procedure(s). Enter your answers in the appropriate fields below as follows: If entering more than one code, separate your codes by a comma, and a space (ie. 22222, 33333) If using modifiers, use a dash without spaces (ie. 55555, 55554-RT, 55553) The surgeon performs a complete thyroidectomy, leaving the parathyroid glands intact. The wound is closed, and the patient tolerates the procedure well. CPT Code(s): Enter the coding path you followed in the index to get to your code(s)
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