& Answers(GRADED A+)
Code: A patient is admitted with an AIDS-related infection specified as
Cryptosporidiosis. His symptoms include dehydration and diarrhea - ANSWERB20,
A07.2
Code: A patient is referred for home health nursing following hospitalization for
streptococcus pneumoniae septicemia. She was given IV antibiotics for three days
and will be taking oral antibiotics at home for five days. - ANSWERA40.3
Code: A 69-year-old woman comes to home health for treatment for sepsis that her
record says was caused by an E. coli UTI. She will receive IV antibiotics for six
weeks. - ANSWERA41.51, N390, Z45.2, Z79.2
Code: A 62-year-old woman who is morbidly obese is admitted to home health for
medication monitoring, after recently being started on insulin, and physical therapy
for a diagnosis of diabetic polyneuropathy. She also requires treatment of a yeast
infection in the skin folds of her abdomen. She suffers from severe chafing and
irritation from the skin folds constantly rubbing together, which her physician stated
led to the yeast infection. Her height is 60 inches and she weighs 502 lbs. -
ANSWERE11.42. L30.4, B37.2, E66.01, Z68.45, Z79.4
Code: A 75-year-old woman comes to home health with lung calcification secondary
to resolved pulmonary tuberculosis when she was a child. - ANSWERB90.9
Code: A 71-year-old woman has a cystostomy in place due to paraplegia. Recently
the site around the opening became irritated and her physician diagnosed cellulitis
due to group B streptococcus bacteria. She was prescribed a 10-day course of
antibiotics and will receive skilled nursing visits to monitor the infection until it
resolves. She is wheelchair bound - ANSWERN99.511, L03.314, B95.1, G82.20,
Z99.3
Code: A 68-year-old woman who is a type 1 diabetic comes to home health with a
primary diagnosis of malignant otitis externa in bilateral ears. The record indicates
the infecting organism is pseudomonas aeruginosa. She will receive IV antibiotics. -
ANSWERH60.23, B96.5, E109, Z45.2. Z79.2
Code: A 69-year-old man with diabetes comes to home health with a primary
diagnosis of acute osteomyelitis in the bones of his left big toe. The infecting
organism is MRSA. He will receive IV antibiotics for several weeks and is dependent
on insulin. - ANSWERE11.69, M86.172, B95.62, Z45.2, Z79.2, Z79.4
Code: A 73-year-old woman comes to home health with a primary diagnosis of
cellulitis on her groin that is infected with E. coli and is being treated with IV
antibiotics. She also has diabetes and hypertension. - ANSWERL03.314, B96.20,
E119, I10, Z45.2, Z79.2
, Code: A patient's initial injury was a cat bite on her left hand. When her wound
became infected, she was referred to home health for IV antibiotics. The PICC line
also became infected. MRSA has grown out of the PICC line. Other diagnoses
include diabetes and hypertension - ANSWERS61.452A, T80.218A, B95.62, E11.9,
I10, Z79.2
Code: A 72-year-old woman recently underwent surgery to remove cancer in her
sigmoid colon. The surgery completely eradicated the cancer but the surgical wound
developed an intramuscular abscess that's infected with E. coli and the patient was
admitted to home health to continue treatment with a wound VAC and IV antibiotics
for six weeks. The patient is morbidly obese with a BMI of 35. - ANSWERT81.42XA,
B96.20, E66.01, Z68.35, Z79.2, Z45.2, Z85.038
Code: A 79-year-old woman was recently hospitalized for severe colitis due to
recurrent Clostridium difficile. During her hospitalization she experienced severe
diarrhea and acute kidney failure. The kidney failure resolved prior to discharge but
the infection is still resolving and she is still experiencing mild to moderate diarrhea.
She has comorbidities of chronic diastolic heart failure and hypertension. Following
her discharge, she is admitted to home health to continue her recovery. Skilled
nursing will provide instruction to her caregiver on the disease process and
management of new medications. - ANSWERA04.71, I11.0, I50.32
Code: A 79-year-old woman is admitted to home care for wound care of an infected,
non-healing stasis ulcer on her right ankle that has exposed the fat layer. The stasis
ulcer is a result of varicose veins and is infected with Methicillin resistant
staphylococcus aureus (MRSA). She will require IV antibiotics. - ANSWERI83.013,
L97.312, B95.62, Z45.2, Z79.2
Code: The patient has multiple stasis ulcers on both ankles and both calves that are
caused by peripheral venous insufficiency. One on his right ankle includes muscle
necrosis; the others are limited to skin. All are infected with MRSA and VRSA. The of
focus of care is directed at the ulcers, including wound care and IV administration for
antibiotics. - ANSWERI87.2, L97.313, L97.321, L97.211, L97.221, B95.62, Z16.21,
Z45.2, Z79.2
Code: The patient has cellulitis of the abdominal wall extending from an infected
gastrostomy site. Documentation confirmed the culture growth of Staphylococcus
aureus without mention of MRSA from the gastrostomy site. Home health will focus
on the infection. The patient is taking a 3-week course of oral antibiotics. -
ANSWERK94.22, L03.311, B95.61, Z79.2
Code: A 71-year-old woman comes to home health with uncontrolled hypertension
caused by breast cancer in her left breast that has metastasized to her brain. The
hypertension is the focus of care. - ANSWERI15.8, C79.31, C50.912
Code: A 68-year-old female is admitted to home health post-mastectomy of her left
breast due to breast cancer of the lower outer quadrant of her left breast. She will
begin chemo once the incision is healed. Medical records state she is estrogen
receptor positive. The physician H&P further indicates that she quit a 30-year