SUCCESS TO THE PEAK

Differentiate essential hypertension and secondary hypertension – -Essential hypertension (primary hypertension): cause of the increased blood pressure is unknown. -Secondary hypertension: elevated blood pressure is caused by another disease. Sites of action of major antihypertensive medications – the brain, heart, blood vessels, and kidneys

9. Minimum Data Sheet (MDS) - Gives background and demographic info on the point as well as their communication level. The nurse fills it out- we need to make sure what they say about their communication matches our notes

10. Paramedics transported a 50-year-old female patient from a house fire to the Emergency Department without any obvious burns. She is covered in soot, coughing, and reporting nausea and anxiety. The emergency department provider plans to treat the patient for possible cyanide poisoning. In addition to oxygen, what medication should the nurse anticipate administering? - Hydroxocobalamin

When it is documented that the patient is both using tobacco and has a dependence on tobacco, hos is this reported in ICD-10-CM? - The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines. What does MRSA stand for? - Methicillin Resistant Staphylococcus Aureus

Downcoding - the document does not justify the level of service Most common billing errors - Billing non-covered services Billing over limit services Upcoding Downcoding Billing without signatures Using outdated codes

When we are not given more information as to a specific type of tumor, whether its benign or malignant, what do we code it as? - Unspecified Behavior When it is documented that the patient is both using tobacco and has a dependence on tobacco, hos is this reported in ICD-10-CM? - The dependence on tobacco is the only code reported based on the hierarchy in the ICD-10-CM guidelines. What does MRSA stand for? - Methicillin Resistant Staphylococcus Aureus

NEC - Not Elsewhere Classifiable - can be used in two instances: 1) not enough info available to determine which specific diagnosis code should be used in situations where ICD-9 provides very specific diagnoses. 2) The coder has specific information about the diagnosis that is not an option in the choice of ICD-9 codes

13. Lean Six Sigma - Combines Six Sigma with concepts of "lean" thinking, focusing process improvement on strategic goals rather than on a project-by-project basis. This type of program is driven by strong senior leadership that outlines long-term goals and strategies. The basis is to reduce error and waste within the organization through continuous learning and rapid change. Characteristics include: • Long-term goals with strategies in place for one- to three-year periods. • Performance...

A 36-year-old man presents to the emergency department with a tight bandage around his chest to help reduce pain from a chest wall injury on his right side that occurred during mixed martial arts sparing. Physical exam reveals dullness to percussion, dry crackles and diminished breath sounds over the right lower lobe. Chest x-ray shows elevation of the right hemi-diaphragm. What is the most likely diagnosis? A Atelectasis B Bronchiectasis C Pleural Effusion D Pneumothorax E Pulmonary ...

4. MCV and MCHC in types of anemias - Macrocytic (MCV>94, MCHC >31) Pernicious anemia - from lack of b12 most commonly from a lack of IF Hypochromic, microcytic (MCV<80, MCHC < 31) Thalassemia, copper deficiency, IDA) Normochromic, Normocytic (MCV - 82-92, MCHC >30) liver, renal disease; pregnancy, hemolytic disease Normal Hemoglobin (M: 13.5 - 17.5 g/dL, F: 12 - 15.5g/dL) 5. Hemolytic anemia - anemia caused by the destruction of red blood cells Sickle cell anemia

What is cross contamination and why is it dangerous? how can it happen? - when microorganisms from one food get into another. cutting veggies right after meat with the same knife without thoroughly cleaning the knife.

You are providing ventilations using a Bag-mask device. Suddenly, you do not see the patient's chest rise with the ventilation. You reposition the patient to ensure an open airway. When you attempt to ventilate, you do not see his chest rise. The most likely cause of this is: a. The bag-mask device is faulty b. Airway obstruction c. The patient has suffered an MI d. Cardiac tamponade - b. Airway obstruction The most likely cause of the failure of the chest to rise during ventilations i...

Phenomena of concern for nurses - Promotion of optimal health. Impaired ability to function. Alterations in cognition. Potential danger. Emotional stress related to issues. Symptom management, side effects, or toxicities associated with self-administered drugs. Barriers to treatment posed by alcohol/substance abuse/dependence. Dev psych issues. Physical/psychological symptoms connected to psychological status. Ability to maintain meaningful lives.

All food service establishments must have - a current and valid permit issued by the NYC Health Department When do Health Inspectors have the right to inspect a food service or food processing establishment? - as long as it is in operation During an inspection, inspectors must be given access to - all areas of the food establishment Who is required to have a Food Protection Certificate. - supervisors of all food service establishments Food is defined as - any edible substance, ice, b...

A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube. What action should the nurse plan to take to decrease the risk of postoperative complications? - Encourage the client to use an incentive spirometer every hour while awake

A 30 year old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. SHe reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? a. perform a complete and thorough history b. prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID c. give an injection of epinephrine 1:1000 IM stat d. call 911 - a

What is polyvinylsiloxane used for? A. Centric positioning B. Pantographs C. Bite registration D. Bridge registry - D Which w

2. A 19-year-old patient is brought to the Emergency Department after taking a handful of pills. The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation reveals coarse rhonchi bilaterally. Which of the following should be done FIRST to assess this patient? A. Obtain a sputum specimen. B. Obtain an ABG. C. Measure peak expiratory flow. D. Determine the Glasgow Coma Score. - B. Obtain an ABG.

The correct answer is A. You should never leave a new admit until the patient knows how to call for help - Which of the following things should you do to familiarize a new client with his or her surroundings?

A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn? - c. Naloxone is used to reverse the effects of narcotics such as demerol.