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A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (SATA) - Cholecystitis Hypertension Migraine headaches MY ANSWER Cholecystitis is correct. A history of gallbladder disease is a contraindication for the use of oral contraceptives. Hypertension is correct. Hypertension is a contraindication for the use of oral contr...

"Deliver the record to the requester of a STAT request within 10 minutes of receiving the request" is an example of a: a. Quality standard b. Joint Commission standard c. Compliance standard d. Quantity standard - a. Quality standard "Mother died of breast cancer, father still living but has heart disease" is an example of what type of health record documentation? a. Discharge summary b. Physician's progress note c. Physician's order d. History report - d. History report A 27-y...

A 45 year old women is admitted for blood loss anemia due to dysfunctional uterine bleeding. How would you code? D25.9 Leiomyoma of uterus, unspecified D50.0 Iron deficiency anemia secondary to blood loss (chronic) D62 Acute posthemorrhagic anemia N93.8 Other specified abnormal uterine and vaginal bleeding a. D50.0, N93.8 b. D62, N93.8 c. N93.8, D50.0 d. D50.0, D25.9 - N93.8, D50.0 (always code due to/secondary condition AFTER the primary) A HIM Department, currently using 2,540 linear...

"Mother died of breast cancer, father still living but has heart disease" is an example of what type of health record documentation? A. Discharge summary B. History report C. Physician's order D. Physician's progress note - B. History report A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper-GI series and laboratory evaluation of CBC and urinalysis. The x-ray revealed possible cholelithiasis and the ...

(Number of C-sections performed/Number of women who delivered) x 100 - How do you calculate C-section rate? (Number of deaths of inpatients/Number of discharges + deaths) x 100 - How do you calculate gross death rate? (Number of infections for a given period/Number of discharges + deaths) x 100 - How do you calculate hospital-acquired infection rate? (Number of intermediate and late deaths/Number of live births + numerator) x 100 - How do you calculate fetal death rate? (Number of shelvi...

(CSR&I 108) A PEG tube would most likely be done to facilitate eating breathing urination none of the above - eating (CSR&I 11) A coder notes that a patient is taking prescription pilocarpine. The final diagnoses on the discharge summary are: congestive heart failure and diabetes mellitus. The code should query the physician about adding the diagnosis of laryngitis bronchitis arthritis glaucoma - laryngitis (CSR&I 4) A system of preferred terminology for naming disease processes is k...

A 45-year-old woman is admitted for blood loss anemia due to dysfunctional uterine bleeding. D25.9 Leiomyoma of uterus, unspecified D50.0 Iron deficiency anemia secondary to blood loss (chronic) D62 Acute posthemorrhagic anemia N93.8 Other specified abnormal uterine and vaginal bleeding a. D50.0, N93.8 b. D62, N93.8 c. N93.8, D50.0 d. D50.0, D25.9 - a. D50.0, N93.8 A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician reque...

-otomy - Open Abbreviations - Should only have one meaning Abstracting - Compiling info from record into data set Accessing and reviewing the work of colleagues in the same profession - Peer Review Accreditation and regulatory standards require a different record for each - patient Accreditation standards keep - Retention and Destruction guidelines After ERD is implemented, an entity becomes... - Table Analog Data - Photographic, Film Analysis - Translating data to info Ancillary - Biom...

________ used to collect information about the resident's risk factors and to plan the ongoing care and treatment of the resident in the long term care facility. - minimum data set A 65 year old white male was admitted tot the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis and the UA showed an increased white blood cell count. The patient was taken to su...

A 45-year-old woman is admitted for blood loss anemia due to dysfunctional uterine bleeding. a. D50.0, N93.8 b. D62, N93.8 c. N93.8, D50.0 d. D50.0, D25.9 - a. D50.0, N93.8 A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient was taken to surgery ...