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Abby explained to her friends why she has to go to the school nurse’s office twice a day to receive shots for her condition. Her classmates started bulling her about being sick. When the office notified the teacher to send Abby to the nurse, Abby became agitated and told the teacher she didn’t want to…
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Sarah is a 34-year-old patient who recently had a stroke and is suffering from aphasia. She has been in the hospital for three weeks and her family said she appears to be upset and is refusing to eat. You walk into her room to check her vital signs, but she refuses to cooperate. She becomes…
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Kelley’s grandfather is visited in his home each day by a home care provider because he recently suffered a stroke and needs help dressing, bathing, walking, preparing meals, and keeping track of his medication. Which type of care does Kelley’s grandfather receive?
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At her first visit with you, Ms. Ryan, a 55-year-old school teacher, is checked in by the medical assistant with a blood pressure of 155/92. Ms. Ryan reports no history of HTN or CVR disease and is asymptomatic. Repeat BP performed by you gives a reading of 148/85. In addition to ordering labwork and an…
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Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I…
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Patient with a Sustained Unwitnessed Fall Mr. D, 90-year-old man with a recent fall and unstable T10-T11 fracture requiring a thoracic lumbar sacral orthosis (TLSO brace) complicated by a pressure injury to mid-back. The patient was transferred from one of the acute hospitals in the GTA. The patient had undergone neurosurgery for the spinal…
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A 9-month-old infant presents to the clinic for a rash on her buttocks lasting for 2 days. The nurse practitioner is suspecting diaper dermatitis. Which of the following statements made by the parent regarding diaper dermatitis management requires additional teaching? Question 28Select one: a. “I will apply zinc oxide ointment to the area.” b. “I…
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Karl, a 2 year old child, presents to the clinic with his mother. He was previously seen three days ago with otitis media and was treated with amoxicillin. His mother identifies he was getting better, but today, he is feverish, lethargic, irritable, and refusing to drink fluids. The nurse suspects candida albicans infection. What assessment…
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One of the many revenue cycle challenges are denials from insurance companies. Health information management professionals can assist in this process by ensuring all appropriate documentation has been made and submitted to support medical necessity for an insurance claim request. Proper documentation assures proper codes are assigned for diagnosis, tests, procedures, etc. It is imperative…
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A 3-year-old boy presents to the clinic. The mother is concerned about the appearance of skin bumps which first appeared on the abdomen 3 months ago. The mother states that the lesions have spread to the chest and back and are mildly pruritic. She denies any other symptoms or recent illness. She reports the child…