HISTORY

CHIEF COMPLAINT
Respiratory distress.

HISTORY OF PRESENT ILLNESS
This is an established patient seen in the office by his regular physician due to increasing respiratory distress for the past 12 hours, unrelieved by his usual routine of Capoten. The patient has a long-standing history of severe bronchial asthma, hiatal hernia with reflux and hypertension. No history of nausea, vomiting or other symptoms.

PAST MEDICAL HISTORY
Illnesses: As indicated in the HPI.
Operations: None.
ALLERGIES: NONE.
Social history: The patient does not smoke or drink or use recreational drugs.

REVIEW OF SYSTEMS
Except as mentioned in the HPI, noncontributory.

PHYSICAL EXAMINATION
GENERAL: The patient is a relatively quiet 56-year-old gentleman who appears in moderate respiratory distress with some intercostal retraction.
VITAL SIGNS: Blood pressure: 170/100. Respiratory rate: 26. Temperature: 97.2. Heart rate: 135.
HEENT: The mucosae are clear.
NECK: The neck is supple. No adenopathy is present.
CHEST: Heart: S1 and S2 are present in all areas without gallops, rubs or murmurs. Lungs: There are diffuse expiratory and inspiratory rhonchi without rales.
ABDOMEN: The abdomen is soft and nontender without evidence of hepatosplenomegaly. The bowel sounds are hypoactive.
RECTAL: Exam deferred.
EXTREMITIES: No clubbing, cyanosis, edema or calf tenderness.
NEUROLOGIC: The deep tendon reflexes are normoreflexive and equal bilaterally without evidence of pathologic reflexes.

IMPRESSION
1. Severe persistent asthma, status asthmaticus.
2. Hypertension.
3. Supraventricular tachycardia.

PLAN
Admit to Weston Medical Center and begin treatment with intravenous steroids, verapamil 80 mg q.12 h., bronchodilators, Tagamet 300 mg q.h.s., Mylanta. PA and lateral chest, EKG, arterial blood gases, electrolytes, SMAC-20. Oxygen per nasal cannula.
ICD-10-CM:
ICD-10-CM:
ICD-10-CM:

Answers

Answer 1

The classification codes for this patient are:

ICD 10 Z01.3 Blood pressure testICD 10 - R91, Abnormal findings from diagnostic imaging tests of the lung.ICD 10 · Z99 - Dependence on machines and enabling devices, not elsewhere classified

What does the ICD mean?

The International Classification of Diseases and Related Health Problems, better known as the ICD, is one of the main epidemiological tools in everyday medical practice. The main function of the ICD is to monitor the incidence and prevalence of diseases, through universal standardization.

With this information, we can conclude that ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems.

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Related Questions

which is the purpose of encouraging active leg and foot excercises for a client who has had hip surgery

Answers

Encouraging active leg and foot exercises for a client who has had hip surgery helps increase muscle flexibility and strength, which helps protect joints and it promotes healing by increasing blood flow.

hope this helps :)

Answer:

To increase blood flow throughout your legs, which will decrease swelling and help with recovery.

One of the following structures that does not pass
under the inferior extensor retinaculum of the
foot is:
A. Deep peroneal nerve
B. Tibialis anterior
C. Extensor hallucis longus
D. Anterior tibial artery
E. Superficial peroneal nerve

Answers

One of the following structures that do not pass under the inferior extensor retinaculum of the foot is The tibialis anterior. Option B. This is further explained below.

What is the Tibialis anterior.?

Generally, The tibialis anterior muscle, which may also be referred to as the tibialis anticus muscle, is the biggest of the four muscles that are located in the anterior compartment of the leg.

In conclusion, The tibialis anterior tendon (TAT) inserts distally on the medial edge of the foot. Its large muscular belly originates from its proximal connection at the lateral tibia.

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A/An ____________________ is a surgical procedure to correct myopia by making incisions in the cornea to cause it to flatten.

Answers

A/An  radial keratotomy is a surgical procedure to correct myopia by making incisions in the cornea to cause it to flatten.

Myopia or nearsightedness is treated with a type of refractive surgery called radial keratotomy (RK). RK, which was invented in Russia in the 1970s by  Svyatoslav Fyodorov, a Russian ophthalmologist, was the first refractive surgical technique to become popular in North America.

In an RK surgery, the cornea is flattened by use of a series of small, deep incisions. As myopia is frequently caused by an excessive corneal curvature, this surgery will ideally aid to lessen nearsightedness and astigmatism.

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Jim reached for the garden hose and grabbed a snake instead. Now each time he needs to use the hose, he gets sweaty in his heart races. In the scenario the hoses is?

Answers

Hoses are a trigger for Jim's PTSD.

What are PTSD triggers?

Post-traumatic stress disorder triggers are things that can be sensed or thought which remind one of a horrible experience or experiences and give a vibe of them happening all over again.

Things that can be sensed include sight, sounds, smells, touch, or feels.

In this case, Jim reached for the garden hose and grabbed a snake instead. Thus, each time the thought, sound, sight, etc of hoses come around, his PTSD is triggered.

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Answer:

Unconditioned Stimulus.

Explanation:

Unconditioned Stimulus (UCS) is an event or something that naturally triggers a response. In this case the hose triggers Jim's heart race reaction.

Also I got it right in the test,

Have a nice day!

Which kind of treatment group would a client or family member attend to learn more about the client's diagnosis, and ways to manage symptoms and prevent inpatient hospitalizations

Answers

Answer:

Diagnostic Team

In 2004, the AACN proposed a new doctoral degree, the doctor of nursing practice (DNP). What is the focus of the DNP degree in nursing

Answers

The DNP degree focuses on working in clinical practice rather than working in a research or academic capacity. Nurses with this advanced training often take a leadership role in the clinical setting to ensure high quality care. The DNP degree is a terminal degree - the highest degree that nurses can earn in their lifetime.

The practice-oriented DNP degree is the highest level of clinical nurse education. DNP programs can focus on advanced clinical care, evidence-based practice, leadership, and quality improvement. The DNP focuses more on administrative and leadership roles in the patient care process. The DNP degree requires coursework focused not only on more advanced clinical practice skills, but also on high-level organizational skills such as leadership, program management, health care administration, and health policy.

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which would be included in the nursing care for a client at 41 weeks' gestation who is scheduled for a contraction stress test

Answers

Emptying the client’s bladder would be included in the nursing care for a client at 41 weeks' gestation who is scheduled for a contraction stress test.

The contraction stress test (CST) is a test for pregnant women. It will check your baby for signs of stress during uterine contractions. During the test, your nurse  will give you a hormone that causes your uterus to contract. These contractions are similar to labor contractions, but usually do not initiate labor. When the test starts, the client will require continuous electronic monitoring and will be restricted to bed; contractions are more uncomfortable with a full bladder, so the client is suggested to empty her bladder for some relief.

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A 7-year-old patient goes into sudden cardiac arrest. You initiate cpr and correctly perform chest compressions at which rate?.

Answers

Answer:

100 to 120 per minute.

Explanation:

.

Healthy individuals who are not in periods of growth or recovering from an illness or injury need to consume protein in an amount that is ______ the amount lost in urine, feces, sweat, skin cells, hair, and nails.

Answers

Healthy individuals who are not in periods of growth or recovering from an illness or injury need to consume protein in an amount that is equal to the amount lost in the urine, feces, sweat, skin cells, hair, and nails.

A lack of protein can make you lose muscle groups, which in turn cuts your power, makes it more difficult to preserve your balance, and slows your metabolism. it is able to additionally result in anemia, whilst your cells do not get sufficient oxygen, which makes you tired.

Someone is stated to be in nitrogen balance when the nitrogen input equals the amount of nitrogen used and excrete. someone is in negative nitrogen balance whilst the amount of excreted nitrogen is extra than that eaten up, which means that the body is breaking down extra protein to fulfill its needs.

A story review of the studies and smaller research has recommended better protein intakes between 2.2 to a few. Four grams/kg (1 to 1.5 grams consistent with a pound of frame weight) for the duration of a massive calorie surplus (to promote weight advantage) outcomes in decreased profits in body fat promoting extra muscle average (14,15).

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. ____________ is an example of a legalized recreational stimulant drug.
25. The insanity defense is attempted in about _______% of cases and is
successful about _____% of the time.

Answers

Marijuana is an example of a legalized recreational stimulant drug.

25. The insanity defense is attempted in about 1% of cases and is

successful about a fraction of those.

What is legalized recreational stimulant?

Of the total of 50 US states, 20 allow the use of marijuana for recreational and medical use. Restrictions on the amount of possession vary with each legislation, as well as for domestic cannabis cultivation.

What is insanity defense?

While cases invoking the insanity defense usually get a lot of media attention, the defense is actually not raised very often. Virtually all studies conclude that the insanity defense is raised in less than 1% of criminal cases and is successful in only a fraction of those.

With this information, we can conclude that the insanity defense refers to a defense that a defendant can plead in a criminal trial.

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Impaired____
activity may be a major cause of erectile dysfunction.
A: dopamine
B. Acetylcholine
c. glutamate
D. nitric oxide

Answers

Answer:

dopamine  

Explanation:

Vitamin B6 is a collective term for three naturally occurring substances that are all metabolically and functionally related. Vitamin B6 _________.

Answers

is involved in the metabolism of protein, carbohydrates, and fat

Monica is an agent focused on serving seniors eligible for Medicare. As she reviews her records, she is trying to determine which of the following items are considered compensation. What do you tell her?

Answers

She reviews her records and she is trying to determine the items considered as compensation:

I. Commissions

II. Bonuses

IV. Referral fees

What is medicare?

Medicade and medicare are the health insurance program started by the U.S. federal government.

People over the age of 65 are covered under this plan. The younger people with the certain disease condition are also eligible for this program.

Thus, I, II, and IV only Correct options.

I. Commissions

II. Bonuses

III. Mileage reimbursement

IV. Referral fees

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According to the ASCM guidelines if you are just getting back in to muscular fitness the recommendation is for you to participate in _________.

Answers

According to the ASCM guidelines if you are just getting back in to muscular fitness the recommendation is for you to participate in 150 minutes of moderate intensity exercise per week.

The American College of Sports Medicine (ASCM) has several recommendations:

All healthy individuals between the ages of 18 and 65 should exercise for at least 30 minutes, five days a week, at a moderate level, or for at least 20 minutes, three days a week, at a vigorous intensity.According to the American College of Sports Medicine (ACSM), a strength training program should be done at least twice a week on different days, with one set of 8 to 12 repetitions for adults in good health and 10 to 15 repetitions for elderly and weak people.Start out slowly and progressively up the difficulty of your workouts.Never do two days of strength training on the same body part.Always keep the right form and technique.Maintaining appropriate form should be challenging for the final few repetitions.

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Which aspect of care at a long-term care facility most clearly suggests that a functional model of care delivery is being used

Answers

Option (a) i.e, Registered nurses perform all assessments while unlicensed assistive personnel provides all feeding and hygiene at a long-term care facility most clearly suggests that a functional model of care delivery is being used.

What is a care facility?

A private facility that offers housing and treatment to elderly patients who are chronically ill.

Patients who are unable to live freely can get both medical and personal assistance services from long-term care institutions.

A variety of services known as long-term care are meant to assist people who are unable to take care of themselves. This circumstance may be ongoing due to chronic or progressive medical issues, disability, or age, for example, or it may be transient as a result of an accident, injury, or medical incident.

Long-term Care Comes in Three Forms:

Competent nursing,Senior Living,Healthcare at home

Short-term care is far more goal-oriented than long-term care. This kind of care is focused on assisting the patient is going home or getting back to their regular routine. Long-term care is usually intended to preserve the patient's health and quality of life as much as possible.

The complete question is:

Which aspect of care at a long-term care facility most clearly suggests that a functional model of care delivery is being used?

a) Registered nurses perform all assessments while unlicensed assistive personnel provides all feeding and hygiene.

b) Unlicensed assistive personnel coordinate each resident's care and occasionally delegate to practical nurses.

c) One nurse is assigned to provide all of a resident's care during a shift.

d) A pairing of one registered nurse and one practical nurse provides all the care for a designated pool of residents.

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How do nutrition experts come to a consensus in order to formulate health promoting guidelines to the public

Answers

To put dietary recommendations into practice, it is made up of nutritionists who operate in many contexts, such as state and local health agencies, community nutrition programs, policy and advocacy organizations, educational institutions at all levels, and research facilities.

How do nutritionist formulate health promoting guidelines to public?

Traditional education programs need to be updated in order to better the knowledge of nutrition specialists and their abilities to instruct a wide range of audiences to base their eating habits on dietary guidelines.

For instance, in addition to emphasizing the scientific foundation of the recommendations, courses must also highlight the social and behavioral components of promoting dietary changes. Curriculums should also include pertinent information from the agriculture and food sciences. This necessitates a careful balance. The practical aspects of nutrition and dietary change may be overlooked if the scientific underpinnings are given too much weight.

The rising body of research on diet has to be incorporated into programs by public health and other community-based nutrition specialists that actively promote health among target populations. Increase the degree of understanding of food, nutrition, and the connections between diet and health among all medical professionals. Establish a distinct program with ultimate responsibility for planning and developing a research and education agenda in human nutrition within the faculty of each health-care professional school. Create a program at the Public Health Service to aid in faculty members' nutrition education. For each of the accredited graduate programs in the healthcare professions, the objective should be to have at least one nutrition faculty member per health-care professional school.

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____________________ is characterized by sudden, severe, lightning-like pain due to an inflammation of the fifth cranial nerve.

Answers

Trigeminal neuralgia is characterized by sudden, severe, lightning-like pain due to an inflammation of the fifth cranial nerve.

Trigeminal neuralgia is characterized by painful electric shock-like sensations due to an inflammation of the fifth cranial nerve. This will affect the trigeminal nerve, which transmits sensations from the face to the brain and also controls the facial muscles. It is caused due to dental problems and various facial injuries that puts pressure on the trigeminal nerve. The pain can be on one side of the face. There is no specific test to diagnose trigeminal nerve problems. Only symptoms can tell about this condition.

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The persistent increased rate of breathing following exercise and the time needed to return to the pre-exercise state is known as (the) _____.

Answers

The persistent increased rate of breathing following exercise and the time needed to return to the pre-exercise state is known as the recovery period.  

Recovery period is the period of physiological changes and the body starts adapting to the stress. The glycogen is used during exercise which are the energy stores in the body are recovered during this period. This also allows body tissues to undergo repair. Recovery period allows the muscle to grow and the fibroblasts are responsible for the repairing of muscle tissue. It also allows the removal of waste and also improve the circulation of blood. Recovery plays an important role in strengthening of muscles.

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You are assessing a 28-year-old patient and you notice he has pinpoint pupils. You suspect a drug overdose. What drug is the likely cause of this phenomenon?

Answers

According to the research, heroin drug is the likely cause of this phenomenon of pinpoint pupils in the 28-year-old patient.

What is heroin?

It is an opioid with narcotic properties (generates drowsiness and modifies sensitivity) and sedatives.

The effect of heroin is very intense and fast, causing a depression of the central nervous system and can cause pinpoint pupils.

Therefore, we can conclude that according to the research, heroin drug is the likely cause of this phenomenon of pinpoint pupils in the 28-year-old patient.

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What should you consider when evaluating the clinical significance of a clinical practice guideline recommendation

Answers

You should consider when evaluating the clinical significance of a clinical practice guideline recommendation that patient care should always be the best possible, and clinical practice guidelines inform the direction to optimize the care provided.

What are clinical practice guidelines?

Clinical guidelines, in a broad sense, are informative documents that include recommendations aimed at optimizing patient care.

With this information, we can conclude that Clinical Practice Guidelines are statements/manifestos systematically developed to assist healthcare professionals in making decisions about appropriate healthcare for specific patients and circumstances.

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A client is preparing to leave the clinic after her first prenatal visit. What is important for the woman to do before she leaves the office

Answers

Make a follow-up appointment is important for the woman to do before she leaves the office.

What about prenatal visit?Pregnancy and prenatal care may educate women about critical actions they can take to safeguard their unborn child and ensure a healthy pregnancy, which can help prevent difficulties. Regular prenatal care helps women: Lower their risk of difficulties throughout pregnancy.Prenatal treatment should involve healthy eating and lifestyle choices both before and during pregnancy.Prenatal care lessens pregnancy complications and avoids issues with delivery.Learn crucial information about physical changes that could endanger the pregnancy or health from routine prenatal care.

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2. Myoclonus is best treated by:

Answers

Anticonvulsant medicines

A practitioner order is for a continuous infusion of insulin

Answers

A practitioner order is for a continuous infusion of insulin by using insulin pump therapy.

What is insulin?

Insulin is a type of hormone that is secreted by the islets of langerhans in the pancreas. it is used mainly for the metabolism of glucose in the body.

A continuous infusion of insulin can be prescribed by a practitioner to a patient suffering from type 1 diabetes.

The insulin pump therapy is used for this purpose because it mimics a physiological way of delivering the insulin into the body.

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Think about how the two-process theory would explain the perpetuation of a phobia. Specifically, how would the two-process theory explain the initial development of a phobia, and how would it explain how the phobia could continue for a very long time?

Answers

Mowrer's two-factor theory gives us a valuable starting point for dealing with many of those manifestations in which fear limits well-being.

How would the two process theory explain the early development of a phobia and how would it explain how the phobia could continue for a long time?

The Doctor Orval Hobart Mowrer focused his research on behaviorism. He established that the first process that involves the emergence of phobias and many anxiety disorders is classical conditioning:

A seemingly neutral and innocuous stimulus (an airplane, a spider, a work scene, a crowded supermarket, etc.) suddenly becomes a painful or traumatic stimulus.

With this information, we can conclude that after suffering the impact of classical conditioning (a specific stimulus acquires a painful connotation), it would be enough to avoid this situation to return to normality. However, when it comes to phobias and anxiety, the brain works differently.

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Which vitamin is most difficult to obtain from natural dietary sources, although it may be found in several fortified foods

Answers

Answer is Vitamin D
Explain - Few foods naturally contain vitamin D, though some foods are fortified with the vitamin, the best way to get enough vitamin D is taking a supplement because it is hard to get enough through eating food.

When providing care for a toddler with hemophilia who is being prepped for an elective procedure, which nursing action is priority

Answers

When providing care for a toddler with hemophilia who is being prepped for an elective procedure, the nursing action which is a priority is to ensure that all the side bed trails are padded.

Hemophilia: It is a severe medical condition in which the individual loses the ability to clot the blood due to which even a minor cut results in severe bleeding circumstances. The condition is typically caused by a hereditary lack of a coagulation factor, most often factor VIII.

Elective procedure: This is the broad term used for the surgical process related to any diseased condition which is scheduled to provide a better quality of life.

Now, a nurse taking care of a toddler with hemophilia should ensure that she will not expose the child to any sharp or fragile or kind of object or situation resulting in even a small scratch on the toddler's body because even a small cut can lead to severe bleeding and blood loss will not be favorable just before the surgery.

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Which aspects of the physical assessment should the nurse include for a complete understanding of the client's physical health?​

Answers

The aspect of the physical assessment that nurses should include for a complete understanding of the client's physical health is inspection.

What is Physical Assessment?

Physical assessment may be defined as the methodology of estimating accurate anatomic conclusions through the use of various aspects.

Inspection is the first aspect of the physical assessment which involves the complete monitoring of the patient's external body parts and symptoms.

After the completion of this aspect, the nurses estimate a complete understanding of the client's physical health and what are they required as medical treatment.

Therefore, it is well described above.

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Mrs. Higgins believes that aliens from another planet have removed her stomach and are watching her to see how long it takes her to grow another one. Mrs. Higgins is most likely suffering from.

Answers

Answer:

Schizophrenia or Cotard delusion.

Explanation:

It could be 'schizophrenia' or 'Cotard delusion'. Since Mrs. Higgins is having illusions, it's probably related to schizophrenia. Cotard delusion is also another possibility, as it includes the person believing that their loss of limbs is reality.

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According to the ahdi the virgule is used to indicate the word____ in laboratory values and other equation or the word ___ in blood pressure (bp) readings and visual acuity

Answers

According to the AHDI, the virgule (/) is used to indicate the word per in laboratory values and other equations or the word over in blood pressure (bp) readings and visual acuity.

AHDI (Association of healthcare documentation integrity) is an organization that was established with the motive of providing recognition to medical transcription.

Medical transcription is the manual process of transcription audio files dictated by physicians into text format.

Medical transcription uses specific terminologies, signs, and symbols for easy transcription and understanding. The symbols are used to represent data in such a way that it is easy for healthcare providers to understand.

According to AHDI, the virgule (/) is used to indicate the word per fin laboratory values and the word over in BP readings and visual acuity.

For example:

110 mg per deciliter can be written as 110 mg/dl80 over 120 mm Hg can be written as 80/120 mm Hg

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A researcher wants to study quality of sleep. She looks at the prior literature to identify an existing questionnaire that other researchers have developed and used to measure sleep quality. The questionnaire would be an example of which term?

Answers

The questionnaire would be an example of a consent term for scientific research.

What is a consent form?

The Free and Informed Consent Term (ICF) is the document that, in addition to explaining the details of the research

justificationobjectivesproceduresdiscomfortsrisksbenefits and allocation groups, among other aspects

must inform and ensure the rights of the participants.

With this information, we can conclude that the questionnaire would be an example of a consent term for scientific research.

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