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what section do you document cough Correct Answ_general
Provider insists pt goes to ER pt doesn't want to, what should you chart Correct
Answ_document conversation between provider and pt
when do you not need to document medication Correct Answ_new medication for the first
time through tauc
what to do if provider removes wax from both ears Correct Answ_ear wax removal
(unilateral)
x- ray readings entered in where Correct Answ_opal
which findings under skin, hair, nail Correct Answ_petechiae erythema septal hematoma
, when ordering basic met panel w/ck what isn't necessary Correct Answ_ISTAT basic met
panel
if a patient has an IV what needs to be ordered Correct Answ_Vitals and IV D/C
when scribing for an APP what do you verify in coding tab Correct Answ_the supervising
physician
which of these are acceptable for order of CT brain Correct Answ_worsening or prolonged
HA, paresthesia, worst HA of pt life, nystagmus, pt fell off bike with no helmet, neurologic
deficit
what body section CVA tenderness Correct Answ_abdominal
Age of female who need preg test Correct Answ_14-59
provider instruct pt to not drink alcohol how do you document Correct Answ_same warning
in plan, procedure note saying "instructed pt, pt agrees"