Cree a Naring Corr Plan (pREATHING PaopLEM CARS PLAN)In Class Practice Scenario 1n 84 year-old diagnosed with Primary D: Insulin Dependert Dabetes Melitus (IDOM)Dadary D: COPD, CHF, Arial Fibritation, Arthritis of bilateral hips, GERD. She has a supportivebghter who checks on her dally, She is widowed, husband died 6 years ago. She finds strength inSfaith and her minister vists weekdy. She is a resident in a LTC tacity.She recelves the following medications:APAP 500 mg two tabs po BIDLasix 40 mg one every AMKDUR 20 mEQ po every AMDigoxin 0.05 mg one tab every dayPrevacid 30 mg po one capsude every dayDuoNeb nebulkzer tx BIDOxycodone/APAP 5/325 po every 6 hoursEvery AM she receives Humulin R4 units and Humulin N35 units SC and recves additionalInsulin based on a sliding scale BS& CHO CountAmpiciin S00 mg po every 6 hours1-98.4 p.o., P-92 irregular & bounding R30 even, deep & labored, Larm B/P-135/82 siting, AP90ieguar & bounding Auscuated coarse grackdes in the bilateral bases of lungs. Has a frequentproductive cough, expectorating a scant amount of brown sputum. Has no nasal drainage & smel isintact. Pulse odmetry-89%.Alert & orlented X3, short & long-term memory intact. Cooperative. Speech is dear, appropriate, &understandable. Thoughts are organized. Bilateral PERRLA. Vision is adequate with glasses. HearingIntact. Clean & well groomed, Undernourished, wt. at 98e &ht. 54 Consumes S0% of mos meals &on a Low Concentrated Sweets diet. Dietary intake-1200 cc during 0600-1400 shift. She has fulupper & lower dentures that fit wel & has no difficulty with chewing. Oral mucosa pirk, moist, andintact. Requires assist of one with bathing, dressing, & toileting.Takes a nap daily. She gets up at 6 AM & goes to bed at 9:30 PM every night. Prefers takng a wpbefore bed three times a week. Skin is dusky, warm, & dry. Turgor is tented. Nalbeds (fingers &toes) are cyanotic with >3 sec. capilary refil time. On O2 e2 ters/NC continuous. She has a stage 2pressure ulcer on her right greater trochanter-2X2 cm with a scant amount of purulent drainage. Drs.order for Duoderm to be appled to the area every 3 days & PRN non-adherent.Abdomen is flat and soft, BS active X4 quadrants. Negative Homan's sign. Voids without difficulty.-Urine is straw colored and dear. Output=500 cc during 0600-1400. She is occasionally incontinentand wears a peri pad. Last BM was this AM. Attends daly activities. Extremity strength is equal. Hasfull AROM in upper extremities & limited AROM in lower extremities, she requires assist of i totransfer, she bears wt. on her lower extremities and uses a walker to ambulate. She has an unsteadygait. States she has weakness in lower extremities and c/o pain in her bilateral hips. At this time.rates her pain at an 8 on a 0-10 scale & describes it as a stabbing pain that lasts until her pain med* Dtakes care of it. She prefers using a heating pad before bed on her back/hips for perlods of 10-15minutes. She takes Oxycodone/APAP for the hip pain. Peripheral pulses bilaterally +2. Pitting edemain bilateral pedal regions at 2+. At times she attempts to get up on her own, states "1 don't want tobother you" Has an order for a chair alarm at all times when up.

Nursing process is a modified scientific method. The nurse will apply this method for identifying…

daughter who checks on her dally. She is widowed, husband died 6 years ago. She finds strength in Cree a nring Car Plan (BaEATHI PaoaLem CARS PIA) In Class Practice Scenario 1 84 year-old dagnosed wth Primary De: Insulin Dependert Dubetes Melitus (IDOM) condary D COPD, OHE, Aral ation Authris of bilateral hps, GERD. She has a suppotve r faith and her minister visits weekdy. She is a resident in a LTC tadlity. She recelves tthe following medications: APAP S00 mg two tabs po BID Lasix 40 mg one every AM KDUR 20 mEQ po every AM • Digoxin 0.05 mg one tab every day Prevacid 30 mg po one capsue every day DuoNeb nebulzer bx BID Oxycodone/APAP 5/325 po every 6 hours Every AM she receives Hurnuin R4 units and Humulin N35 units SCand recves additional Insulin based on a sliding scale BS & CHO Count • Ampiciin S00 mg po every 6 hours 1-98.4 p.o., P92 irregular & bounding R30 even, deep & labored, L arm- P-135/82 stting, A90 rregular & bounding Auscultated coarse crackles in the bilateral bases of lungs. Has a frequert productive cough, expectorating a scant amount of brown sputum. Has no nasal drainage & smel is intact. Pulse odmetry-89%. Aert & oriented X3, short & long-tem memory intact. Cooperative. Speech is dear, appropriate, & understandable. Thoughts are organized. Bilateral PERRLA. Vision is adequate with glasses. Hearing intact. Clean & well groomed, Undernourished, wt. at 98e &t. s4 Consumes 50%, of most meais & on a Low Concentrated Sweets diet. Dietary intake1200 cc during 0600-1400 shifn. She has ful upper & lower dentures that fit wel & has no dfficulty with chewing. Oral mucosa pirk, moist, and intact. Requires assist of one with bathing, dressing, & toleting. Takes a nap daily. She gets up at 6 AM & goes to bed at 9:30 PM every night. Prefers taking a wp before bed three times a week. Skin is dusky, warm, & dry. Turgor is tented. Nalbeds (fingers & toes) are cyanotic with >3 sec. capilary refil time. On O2e 2 liters/NC continuous. She has a stage 2 pressure ulcer on her right greater trochanter-2X2 cm with a scant amount of purulent drainage. Drs. order for Duoderm to be appled to the area every 3 days & PRN non-adherent. Abdomen is flat and soft, BS active X4 quadrants. Negative Homan's sign. Voids without afficulty. Urine is straw colored and dear. Output-500 cc during 0600-1400. She is occasionally incontinent and wears a peri pad. Last BM was this AM. Attends daly activities. Extremity strength is equal. Has full AROM in upper extremities & limited AROM in lower extremities, she requires assist of i to Cransfer, she bears wt. on her lower extremities and uses a walker to ambulate. She has an unsteady gait. States she has weakness in lower extremities and c/o pain in her bilateral hips. At this time. ates her pain at an 8 on a 0-10 scale & describes it as a stabbing pain that lasts until her pain med akes care of it. She prefers using a heating pad before bed on her back/hips for perlods of 10-15 ninutes. She takes Oxycodone/APAP for the hip pain. Peripheral pulses bilaterally +2. Pitting edema n bilateral pedal regions at 2+. At times she attempts to get up on her own, states "I don't want to mother you" Has an order for a chair alarm at all times when up.

daughter who checks on her dally. She is widowed, husband died 6 years ago. She finds strength in Cree a nring Car Plan (BaEATHI PaoaLem CARS PIA) In Class Practice Scenario 1 84 year-old dagnosed wth Primary De: Insulin Dependert Dubetes Melitus (IDOM) condary D COPD, OHE, Aral ation Authris of bilateral hps, GERD. She has a suppotve r faith and her minister visits weekdy. She is a resident in a LTC tadlity. She recelves tthe following medications: APAP S00 mg two tabs po BID Lasix 40 mg one every AM KDUR 20 mEQ po every AM • Digoxin 0.05 mg one tab every day Prevacid 30 mg po one capsue every day DuoNeb nebulzer bx BID Oxycodone/APAP 5/325 po every 6 hours Every AM she receives Hurnuin R4 units and Humulin N35 units SCand recves additional Insulin based on a sliding scale BS & CHO Count • Ampiciin S00 mg po every 6 hours 1-98.4 p.o., P92 irregular & bounding R30 even, deep & labored, L arm- P-135/82 stting, A90 rregular & bounding Auscultated coarse crackles in the bilateral bases of lungs. Has a frequert productive cough, expectorating a scant amount of brown sputum. Has no nasal drainage & smel is intact. Pulse odmetry-89%. Aert & oriented X3, short & long-tem memory intact. Cooperative. Speech is dear, appropriate, & understandable. Thoughts are organized. Bilateral PERRLA. Vision is adequate with glasses. Hearing intact. Clean & well groomed, Undernourished, wt. at 98e &t. s4 Consumes 50%, of most meais & on a Low Concentrated Sweets diet. Dietary intake1200 cc during 0600-1400 shifn. She has ful upper & lower dentures that fit wel & has no dfficulty with chewing. Oral mucosa pirk, moist, and intact. Requires assist of one with bathing, dressing, & toleting. Takes a nap daily. She gets up at 6 AM & goes to bed at 9:30 PM every night. Prefers taking a wp before bed three times a week. Skin is dusky, warm, & dry. Turgor is tented. Nalbeds (fingers & toes) are cyanotic with >3 sec. capilary refil time. On O2e 2 liters/NC continuous. She has a stage 2 pressure ulcer on her right greater trochanter-2X2 cm with a scant amount of purulent drainage. Drs. order for Duoderm to be appled to the area every 3 days & PRN non-adherent. Abdomen is flat and soft, BS active X4 quadrants. Negative Homan's sign. Voids without afficulty. Urine is straw colored and dear. Output-500 cc during 0600-1400. She is occasionally incontinent and wears a peri pad. Last BM was this AM. Attends daly activities. Extremity strength is equal. Has full AROM in upper extremities & limited AROM in lower extremities, she requires assist of i to Cransfer, she bears wt. on her lower extremities and uses a walker to ambulate. She has an unsteady gait. States she has weakness in lower extremities and c/o pain in her bilateral hips. At this time. ates her pain at an 8 on a 0-10 scale & describes it as a stabbing pain that lasts until her pain med akes care of it. She prefers using a heating pad before bed on her back/hips for perlods of 10-15 ninutes. She takes Oxycodone/APAP for the hip pain. Peripheral pulses bilaterally +2. Pitting edema n bilateral pedal regions at 2+. At times she attempts to get up on her own, states "I don't want to mother you" Has an order for a chair alarm at all times when up.

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter19: Insurance And Reimbursement

Section: Chapter Questions

Problem 8MC

See similar textbooks