Patient is diagnosed as having chronic renal failure with hypertension. He is end stage receiving dialysis. What ICD-10-CM codes are reported?
I12.0, N18.6, Z99.2

True. Newborns are typically fitted with tamperproof security sensors during their stay at the hospital to ensure their safety and prevent any unauthorized individuals from removing them from the premises.

These sensors help ensure the safety of the infants and prevent unauthorized access or potential abduction. A tamper status means there is a physical disconnect on the inside of the sensor. This is usually caused by the casing of the Motion Sensor not being fully secure. If the Motion Sensor casing is opened, close the sensor and the Tamper message will clear afterward.

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Evaluating the presence and rate of continuous leaks during flow triggering helps assess the effectiveness of the ventilator triggering system.

During mechanical ventilation, flow triggering is a common method used to initiate a breath based on the patient's inspiratory effort. It relies on detecting a change in flow at the patient's airway opening. However, continuous leaks in the ventilator circuit can interfere with accurate triggering.

When there are leaks in the system, such as around the endotracheal tube or through a faulty connection, the airflow may not be properly measured, leading to ineffective triggering or false triggering. This can result in patient-ventilator asynchrony and compromise ventilation support.

By evaluating the presence and rate of continuous leaks during flow triggering, clinicians can determine the integrity of the ventilator circuit and assess the reliability of the triggering mechanism. If leaks are detected, appropriate actions can be taken to address the issue, such as adjusting or replacing equipment, ensuring proper connections, or using leak compensation algorithms if available on the ventilator.

Regular monitoring and assessment of leaks during flow triggering contribute to optimizing patient-ventilator synchrony and improving overall ventilation delivery, enhancing patient comfort, and promoting effective respiratory support.

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Thermoreceptors are sensory receptors that are responsible for detecting changes in temperature. These specialized nerve endings are located throughout the body, including in the skin, organs, and muscles. When they detect a change in temperature, they send signals to the brain, which then interprets the information and initiates an appropriate response.

Thermoreceptors are a type of stimulus type detection mechanism that can respond to both hot and cold stimuli. They are able to detect changes in temperature within a very narrow range and are therefore very sensitive to even small changes in temperature. This allows them to help regulate the body's internal temperature, which is critical for maintaining homeostasis.

Thermoreceptors are also involved in the sensation of pain associated with extreme temperatures. When exposed to very hot or very cold temperatures, these receptors can become overstimulated and send pain signals to the brain. This is why touching a hot stove or holding something very cold can be painful.

Overall, thermoreceptors play an important role in the body's ability to sense and respond to changes in temperature. They are a critical part of the body's sensory system and help us maintain our internal temperature and avoid potentially harmful temperature extremes.

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The Omnibus Budget Reconciliation Act (OBRA) of 1987 was a major piece of legislation that made significant changes to various aspects of the American healthcare system. The act was primarily designed to reduce government spending on healthcare programs while also improving the quality of care for patients.

One of the most important provisions of OBRA was the creation of the Nursing Home Reform Act. This act set national standards for nursing homes, including requirements for quality of care, staffing ratios, and resident rights. OBRA also established a mandatory training program for nursing home staff, which helped to improve the overall quality of care for residents.

Another important provision of OBRA was the establishment of Medicare’s Prospective Payment System (PPS). This system replaced the previous fee-for-service system, which had been blamed for driving up healthcare costs. The PPS system paid healthcare providers a fixed rate for each patient, regardless of the actual cost of care. This helped to control healthcare costs while also improving the efficiency of the system.

OBRA also established the Home Health Agency (HHA) regulations, which set new standards for home healthcare services. The act required HHAs to be licensed and regulated, and it established new requirements for the qualifications of home healthcare workers.

Overall, OBRA had a significant impact on the American healthcare system. It helped to improve the quality of care for patients while also reducing government spending on healthcare programs. Its legacy continues to be felt today, as many of its provisions remain in effect and continue to shape the healthcare landscape.

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Based on the information provided, the appropriate CPT® code to report for a mitral valve ring insertion with cardiopulmonary bypass is 33426. This code represents the surgical procedure of mitral valve repair with a ring, utilizing cardiopulmonary bypass.

The procedure involves inserting a flexible or rigid ring around the base of the mitral valve, in order to support and stabilize the valve leaflets and prevent them from prolapsing or leaking. The code includes all associated procedures, such as exposure of the valve, insertion of the ring, and closure of the incision.It is important to note that the correct CPT® code selection depends on the specific details of the procedure performed, as well as any other concurrent procedures or complications that may have arisen during the surgery. Therefore, it is crucial to review the operative report and any other relevant documentation before assigning a code. It is also important to ensure that the code reported reflects the highest level of specificity and accurately describes the services provided.

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The generic name of Plavix is Clopidogrel. Clopidogrel is a medication used to prevent blood clots in people with conditions such as coronary artery disease, peripheral vascular disease, and cerebrovascular disease.

It works by preventing platelets in the blood from sticking together, which reduces the risk of blood clots forming and causing a heart attack or stroke.

Clopidogrel is commonly prescribed in combination with aspirin for people who have had a heart attack or stroke or are at high risk for these conditions. It is available in tablet form and is usually taken once daily. As with any medication, it is important to follow your doctor's instructions and be aware of any potential side effects. Common side effects of Clopidogrel include stomach upset, diarrhea, and headache. If you experience any unusual symptoms or side effects while taking Clopidogrel, it is important to contact your doctor right away.

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The posterior tibial pulse is located on the inner aspect of the ankle just behind the ankle bone.

This pulse can be felt by placing two fingers on the inner ankle and pressing down lightly until the pulse is felt. It is important to note that this pulse may be weaker or stronger depending on various factors such as age, activity level, and overall health. Additionally, it is important to ensure that the content loaded when searching for information about this pulse is from reputable sources such as medical textbooks or websites.

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There are several diagnostic tools used for bronchogenic carcinoma, including imaging studies such as chest X-rays, CT scans, PET scans, and MRI

Bronchoscopy is another commonly used diagnostic tool, which involves the insertion of a flexible tube with a camera and light on the end into the lungs to examine the airways and take tissue samples for biopsy. Additionally, blood tests may be ordered to assess certain tumor markers, such as carcinoembryonic antigen (CEA) and cytokeratin 19 fragment (CYFRA 21-1). Ultimately, a combination of these tools is often used to accurately diagnose and stage bronchogenic carcinoma. Positron emission tomography (PET) scan, bronchoscopy, biopsy, and sputum cytology. These tools help in detecting, locating, and determining the stage of the tumor, which is crucial for appropriate treatment planning.

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A differential diagnosis is the process of identifying and distinguishing between several possible medical conditions that may explain a patient's symptoms or clinical findings.

This method helps healthcare professionals to determine the most appropriate treatment and avoid misdiagnosis. During differential diagnosis, a clinician considers various factors, such as the patient's medical history, physical examination, and diagnostic tests, to narrow down the list of potential conditions.Comorbidity refers to the presence of two or more medical conditions or disorders occurring in a person at the same time or sequentially. These conditions may be related, independent, or have a causal relationship. Comorbidity can complicate the diagnostic process, treatment, and management of the patient, as well as affect the prognosis and overall health outcomes.In summary, differential diagnosis is a crucial step in identifying the correct medical condition, while comorbidity refers to the co-occurrence of multiple disorders in a patient, which can impact diagnosis and treatment planning.

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False. Mental health disorders and substance use disorders often occur together, known as a co-occurring disorder or dual diagnosis.

It is essential to address both the mental health disorder and substance use disorder in treatment to achieve successful outcomes, False Mental health disorders, and substance use disorders can often occur together.

This is known as co-occurring disorders or dual diagnosis. When someone has both a mental health disorder and a substance use disorder, they may be more challenging to diagnose and treat, as the symptoms of one can exacerbate the other. It is essential for professionals to address both disorders to ensure effective treatment and recovery.

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The suffix in the word "cytotoxic" is "-ic." This suffix typically means "pertaining to" or "related to." In the context of cytotoxic, it refers to the ability to destroy or kill cells. So, the word cytotoxic can be understood as "pertaining to the ability to destroy cells.

Therefore, cytotoxic refers to a substance or agent that has the ability to kill or destroy cells. This can be used in various contexts, such as in chemotherapy where cytotoxic drugs are used to kill cancer cells. Cytotoxicity can also refer to the toxic effects that certain substances have on cells, which can cause damage or death. In summary, the suffix "-toxic" in cytotoxic emphasizes the destructive or harmful nature of the agent, in this case, its ability to kill or damage cells.

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The correct answer: (C) Rubber-soled slippers or shoes. The nurse aide should put rubber-soled slippers or shoes on the client's feet when helping them walk from the bed to a chair. This is important for the client's safety and to prevent slipping or falling.

Socks or stockings alone can be slippery on hard surfaces and increase the risk of falls. Cloth-soled slippers do not provide enough traction or support for walking and can also increase the risk of slipping or tripping. Rubber-soled slippers or shoes provide the best traction and stability for walking and reduce the risk of falls. Additionally, the nurse aide should make sure the slippers or shoes fit properly and are comfortable for the client. Overall, ensuring the client has appropriate footwear is an important aspect of promoting their safety and mobility. When a nurse aide is going to help a client walk from the bed to a chair, it is essential to ensure the client's safety and prevent falls.

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The nurse should prioritize option B, "potential for injury related to sensory and motor deficits" for the client experiencing chemotherapy-induced peripheral neuropathy.

Neuropathy is a condition where the nerves that carry messages to and from the brain and spinal cord to the rest of the body are damaged. Chemotherapy-induced peripheral neuropathy can cause numbness, tingling, and pain in the hands and feet, making it difficult to perform everyday tasks such as walking and grasping objects.  This loss of sensory and motor function puts the client at risk for injury, especially if they are unable to sense temperature changes or pressure on their feet or hands. The nurse can assess for signs of injury, such as cuts, bruises, or blisters, and educate the client on how to prevent them. This may include wearing proper footwear, avoiding hot water, and using caution when handling sharp objects.

While the other options may also be concerns for the client, such as lack of understanding about side effects or coping strategies, they are not immediate safety concerns. Altered sexual function related to erectile dysfunction is also a concern, but it is not as urgent as preventing physical injury. Overall, the nurse should prioritize preventing injury and promoting safety for the client with chemotherapy-induced peripheral neuropathy.

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It is true that rational therapy asserts that people often cannot control events that happen to them, but they have the power to think rationally and thereby change all of their unwanted emotions and ineffective actions by self-talk.

Rational therapy is a form of psychotherapy that emphasizes the importance of identifying and changing negative thought patterns and beliefs in order to improve emotional and behavioral functioning. The therapy asserts that individuals can't always control the events that happen to them, but they have the power to control their reactions to those events.

This is achieved through the use of self-talk, which involves identifying and challenging irrational beliefs and replacing them with more rational and adaptive ones. By doing so, individuals can effectively change their unwanted emotions and ineffective actions, leading to greater emotional well-being and overall life satisfaction.

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The exercise technique needed for jogging is not typically modified when performing a warm-up drill for plyometrics.

Plyometrics is a form of high-intensity, explosive exercise that involves rapid stretching and contracting of muscles, often used to improve power and athleticism.

Plyometric exercises require proper technique and form to prevent injury and maximize effectiveness. Warm-up drills for plyometrics are usually designed to prepare the body for the intense nature of plyometric exercises by gradually increasing heart rate, activating muscles, and improving joint mobility.

These warm-up drills may include exercises such as dynamic stretching, mobility exercises, and low-intensity plyometric drills. While the exercise technique for plyometrics may differ from jogging due to the explosive and high-impact nature of plyometrics, the exercise technique for jogging itself does not typically need to be modified when performing a warm-up drill for plyometrics.

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According to DSM-5, all excitement disorders have in common the diagnostic requirement that the difficult: causes significant distress or impairment. The correct option is (B).

DSM-5 defines sexual dysfunctions as persistent disturbances or difficulties in sexual desire, sexual arousal, orgasm, or sexual pain that cause marked distress or interpersonal difficulty. This means that the sexual dysfunction must be causing significant emotional or relational distress or impairment in functioning.

All of the sexual dysfunctions listed in DSM-5, including the excitement disorders (female sexual interest/arousal disorder, male hypoactive sexual desire disorder), have this requirement in common. In addition, the symptoms must be present for a minimum of 6 months and must not be better explained by another medical or psychiatric condition.

It's important to note that sexual dysfunctions can have a variety of causes, including physical and psychological factors, and can be treated with a range of interventions such as medication, psychotherapy, or behavioral interventions.

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Coping mechanisms can be both inborn and acquired. Inborn coping mechanisms are innate responses to stress or difficult situations, such as the fight or flight response.

Acquired coping mechanisms are learned through experience, social interactions, and personal development, and may include strategies like problem-solving, seeking social support, and practicing relaxation techniques. Coping mechanisms can be both inborn and acquired. Some people may naturally have certain coping skills and tendencies, while others may develop them through experiences and learned behaviors. It's important to note that everyone has the ability to develop and improve their coping mechanisms through various methods, such as therapy, mindfulness practices, and self-reflection.

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Pneumothorax is a condition in which air accumulates in the pleural space, causing the lung to collapse. Prompt recognition and treatment of a pneumothorax is essential to prevent complications and ensure proper recovery.

Physical examination (PE) findings of a pneumothorax may vary depending on its severity and type, but common findings include:

1. Chest pain: Patients may report pleuritic, unilateral, non-exertional, and sudden onset chest pain. This is due to irritation of the pleural lining as the lung collapses.

2. Dyspnea: Difficulty breathing or shortness of breath is a common symptom, as the affected lung is unable to function effectively.

3. Hyperresonance to percussion: When tapping the chest wall, an unusually hollow or drum-like sound may be heard over the affected side, indicating the presence of air in the pleural space.

4. Decreased fremitus: Tactile fremitus, or vibrations felt on the chest wall, may be reduced due to the air-filled space separating the lung from the chest wall.

5. Decreased breath sounds: Listening with a stethoscope, breath sounds may be diminished or absent on the affected side as the lung is not expanding properly.

In the case of a tension pneumothorax, additional PE findings may include increased jugular venous pressure (JVP), pulsus paradoxus (an exaggerated decrease in blood pressure during inspiration), and hypotension, which can lead to shock. These findings result from the accumulation of air under pressure in the pleural space, causing compression of the heart and great vessels, and impairing blood flow.

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Mrs. Rice is most likely being treated for muscle spasms with a prescription for tizanidine.

Mrs. Rice is likely being treated for muscle spasms, as tizanidine is a medication commonly prescribed to treat muscle spasms and spasticity associated with conditions such as multiple sclerosis, spinal cord injuries, and other neurological disorders.

Tizanidine works by acting on the central nervous system to reduce muscle tone and promote muscle relaxation. It is not typically used to treat inflammation, migraines, or pain unrelated to muscle spasms. However, the specific medical condition that led to Mrs. Rice being prescribed tizanidine is not known without further information from Mrs. Rice or her healthcare provider. It is important for patients to follow their healthcare provider's instructions and take medications only as prescribed.

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Answer:

C. It is true that gambling disorders cause a higher disruption in the systems that control the neurotransmitter dopamine in pathological gamblers. Compulsive gambling, commonly referred to as gambling disorder, is a mental illness marked by chronic and recurrent problematic gambling behaviour that significantly impairs or distresses the sufferer. According to studies, those who suffer from gambling disorders exhibit a larger level of disturbance in the systems that control dopamine, a neurotransmitter that is essential for motivation, decision-making, and reward-seeking behaviour. The other choices in the question are not accurate for a gambling issue.

The statement that is true of gambling disorder isC. Pathological gamblers have a greater disruption in the systems regulating the neurotransmitter dopamine.

This disorder can be described as one that is been is seen in a person whereby a person's daily life is affected by their addiction to gambling.

It should be noted that Signs may include financial borrowing, selling investments, and issues at work or in relationships.Medication, counseling, and support groups are all forms of treatment.

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The number 1 nonfatal, unintentional injury in children aged 0-9 is falls. Falls are considered nonfatal because they typically do not result in death, and they are unintentional because they occur unexpectedly or accidentally.

Falls are most common in this age group because children are still developing their balance, coordination, and motor skills, making them more prone to accidents.

Additionally, young children are curious and may not fully understand the potential dangers associated with climbing or playing in risky areas. As they grow and gain more experience, their ability to navigate their environment safely improves, reducing the likelihood of falls.

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If a client who is receiving oral anticoagulant therapy with warfarin has a newly drawn prothrombin time (PT) result of 40 seconds, the nurse should anticipate that the client will need a prescription for a decreased dose of warfarin.

Warfarin is an anticoagulant medication that is used to prevent blood clots from forming. It works by interfering with the production of clotting factors in the liver, which can lead to a longer PT time. However, if the PT time is too long, it can put the client at risk for bleeding.

The therapeutic range for PT in a client receiving warfarin is typically between 18-24 seconds. A PT result of 40 seconds indicates that the client's blood is taking too long to clot and that their dose of warfarin needs to be adjusted. The healthcare provider may prescribe a decreased dose of warfarin or recommend that the client skip a dose until their PT time returns to within the therapeutic range.

It is important for the nurse to closely monitor the client's PT time and to report any significant changes to the healthcare provider. Additionally, the nurse should educate the client on the signs and symptoms of bleeding and the importance of monitoring their PT time regularly.

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The nurse should establish a supportive and interactive learning environment to provide effective health education to a client with a new diagnosis of diabetes.

Creating an effective learning environment involves several key actions.

Overall, creating an effective learning environment involves a client-centered approach that fosters a positive, supportive, and interactive learning experience to promote understanding and retention of health education content.

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The bacterium that is a major cause of pelvic inflammatory disease (PID) in women is Neisseria gonorrhoeae. This bacterium is transmitted through sexual contact and can cause an infection in the cervix, uterus, fallopian tubes, and ovaries.

PID occurs when the infection spreads to the reproductive organs, leading to inflammation and scarring. Symptoms of PID include lower abdominal pain, fever, painful intercourse, and abnormal vaginal discharge. If left untreated, PID can lead to infertility, ectopic pregnancy, and chronic pelvic pain. Therefore, it is crucial for sexually active women to practice safe sex, get regular STI screenings, and seek medical attention if experiencing any symptoms of PID. Treatment typically involves a course of antibiotics to clear the infection and reduce inflammation. It is important to note that other bacteria, such as Chlamydia trachomatis, can also cause PID, so proper diagnosis and treatment is essential for successful management of the disease.

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As a nurse aide, it is crucial to take responsibility for fire prevention measures to ensure the safety of clients and visitors. Some of these measures include being aware of the locations of fire extinguishers, reporting any damaged wiring or sockets in clients' rooms, and participating in fire drills.

One thing that is not the responsibility of a nurse aide is taking cigarettes and matches away from all clients and visitors. While smoking is a known fire hazard, it is not within the scope of a nurse aide's duties to confiscate personal belongings. Instead, it is the responsibility of the facility to have smoking policies in place, such as designated smoking areas and proper disposal of cigarettes and matches. It is important for nurse aides to educate clients and visitors on the risks of smoking and encourage them to follow the facility's smoking policies to minimize fire hazards.

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True. A sigmoid colectomy is a surgical procedure in which a part of the sigmoid colon is removed, typically due to conditions like diverticulitis, cancer, or inflammatory bowel disease. After the surgery, the remaining colon is attached to the abdominal wall to form an opening called a colostomy.

This allows stool to exit the body through the colostomy and into a colostomy bag. Since the sigmoid colon is responsible for solidifying stool, a patient with a sigmoid colectomy will have semi-liquid stool. The consistency of the stool will be affected by the extent of the colon removal and the individual's diet. It is important for the patient to follow a prescribed diet and maintain proper hygiene to ensure the best outcomes post-surgery.

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The statement that explains the mechanism of action of carbidopa-levodopa in the treatment of Parkinson's disease is: "Carbidopa-levodopa works by increasing the levels of dopamine in the brain, with carbidopa preventing the breakdown of levodopa before it reaches the brain, allowing for more effective dopamine replenishment and thus alleviating Parkinson's disease symptoms."

The statement that explains the mechanism of action of carbidopa-levodopa in the treatment of Parkinson's disease is that it works by increasing the levels of dopamine in the brain, which helps to alleviate the symptoms of the disease. Levodopa is converted into dopamine in the brain, while carbidopa prevents the breakdown of levodopa before it reaches the brain, allowing more of it to be converted into dopamine. This helps to improve motor function, reduce tremors, and improve the overall quality of life for people with Parkinson's disease.

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As the nurse cares for a client receiving heparin sodium intravenously as a continuous infusion, it is essential to monitor the client's laboratory findings. Heparin is an anticoagulant medication that prevents the formation of blood clots, but it can also lead to bleeding complications.

Therefore, the laboratory finding that requires immediate nursing intervention is a decrease in platelet count.Heparin-induced thrombocytopenia (HIT) is a severe complication that can occur when a client is receiving heparin. HIT causes a decrease in platelet count, which can result in bleeding complications, including internal bleeding. Therefore, the nurse must monitor the client's platelet count regularly.If the client's platelet count drops below the normal range, the nurse should immediately notify the healthcare provider and stop the heparin infusion. The healthcare provider may order further laboratory tests or switch the client to a different anticoagulant medication. The nurse must also monitor the client for any signs of bleeding, such as petechiae, ecchymoses, or hematuria.In conclusion, when caring for a client receiving heparin sodium intravenously as a continuous infusion, the nurse must monitor the client's laboratory findings, specifically their platelet count. A decrease in platelet count requires immediate nursing intervention, including notifying the healthcare provider and stopping the heparin infusion.

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Yes, steroid-dependent patients should receive prophylaxis with additional steroids prior to a dental procedure. This is because dental procedures can induce stress, and steroid-dependent patients.

When it comes to dental procedures, there is a risk of infection if bacteria from the mouth enter the bloodstream. This is known as bacteremia. For most people, this is not a problem because their immune systems are able to clear the bacteria quickly. However, for patients who are steroid-dependent, the risk of infection may be higher because their immune systems are suppressed.

So, should steroid-dependent patients receive prophylaxis with additional steroids prior to a dental procedure? The answer is not clear-cut, and there are differing opinions among healthcare providers.

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