Chapter 7, Problem 27R

Cite reference page(s) from the Rosdahl textbook. Submit responses here. Mr. Weatherman has been admitted to your extended care facility.  He is an 89-year-old male with a diagnosis of metastatic cancer of the brain.  He has been cared for at home until the primary caregiver also became ill.  Currently he is semicomatose.  His advanced directive specifies no feeding tube, no intravenous fluids, and no cardiopulmonary resuscitation.  Upon admission, you note several areas of skin breakdown. (Learning Objectives 2, 3, 4, 6) What factors placedMr. Weatherman at greater risk for skin breakdown? What should be included in the nursing care plan for Mr. Weatherman to prevent further skin breakdown? Describe the wound healing of a pressure ulcer.

Bradley Buchanan presents to the neighborhood nurse-run clinic with shortness of breath, a persistent cough with blood-tinged sputum, recent weight loss, and night sweats. On initial assessment, the client has a fever of 101.4°F and pain in his chest. His other vital signs are as follows: pulse 98 beats per minute; respirations 26 per minute; blood pressure 110/76 mm Hg; height 68 inches; and weight 140 pounds. Mr. Buchanan is 45 years old. He is employed as a dishwasher at a local restaurant and lives at the local shelter with his wife, who is 8 months pregnant, and his 13-year-old son. Mr. Buchanan is concerned that if he cannot go to work, he will lose the family’s only income. At this point, although Mr. Buchanan’s signs and symptoms and his purified protein derivative test results seem to indicate that he may have tuberculosis, the nurse must pursue further confirmation of the diagnosis. Questions for students:   What would be the nurse’s next action? Should the nurse do any…

The American Academy of Pediatrics recommends that screen time for children between 2 and 5 years of age should be limited to ________ hours per day.

Please watch the TSH video https://youtu.be/GaO-Fq6II8w?si=hM-Kj3_DRiei4cpI answer the questions in detail Watch https://m.youtube.com/watch?v=GaO-Fq6II8w List the symptoms pertinent to the case. Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity). Delineate 4 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case. What is the physiology, pathophysiology, and/or etiology associated with each differential? What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis? What does the USPSTF App (Preventive Studies)/website say about the…

When taking an obstetrical history on a pregnant client who states, "I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks," the nurse should record her obstetrical history as which of the following? A. G2 T2 PO AO L2 B. G3 T1 P1 AO L2 C. G3 T2 PO AO L2 O D. G4 T1 P1 A1 L2

Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable: Location: Family medical center Encounter Date: 9/7/xx Provider: Snow Valley, MD Patient: Heather Williams Gender: F Age: 43-year-old established patient Chief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate. Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.

M.P. is a 45-year-old woman who presents to the family practice for a yearly check-up. Subjective Data Married Exercises daily Nonsmoker, never smoked Registered nurse in hospital setting Has two children who live at home No complaints at this time Objective Data Vital signs: T 36.7 BP 108/62 HR 62 Resp 14 Height: 5 feet, 7 inches Weight: 160 lb Immunizations: Up-to-date Medications: No medications, multivitamin daily Allergy to PCN = Hives Questions How should the nurse proceed with the physical exam? What interventions can help make the patient more comfortable during the physical examination? What pointers or tips can the experienced nurse give to a new nurse who wants to improve his or her technique? What are the components of the general survey? How should the nurse perform the abdominal assessment?

https://m.youtube.com/watch?v=GaO-Fq6II8w Watch video and answer questions in detail Watch https://m.youtube.com/watch?v=GaO-Fq6II8w List the symptoms pertinent to the case. Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity). Delineate 4 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case. What is the physiology, pathophysiology, and/or etiology associated with each differential? What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis? What does the USPSTF App (Preventive Studies)/website say about the final diagnosis? Do you agree or…

using a cpt coding book Automated blood count (CBC) with differential: 85025 (automated) or 85027 (manual) 4. Urine dipstick test for ketones: 81003 (urinalysis, auto, without micro) 5. Hearing test using pure tone audiometry (air only): 92552 6. Suction lipectomy (lower right leg): 15876 (abdomen, hips, thighs, etc.) 7. Diagnostic lumbar spinal puncture: 62270 (lumbar puncture, diagnostic) 8. Direct ligation of esophageal varices: 43228 (endoscopic sclotherapy) or 43324 (open) 9. Simple pulmonary stress test: 94620 (exercise test, cardiac, maximal) 10. Intradermal Tuberculosis (TB) test: 86580 (tuberculin skin test)