This is the nursing report: Mrs. Dunbar is a 90-year-old female patient admitted to the Women's Health Unit at RIH. She lives at home with her son Michael. Michael states that she was in her frequency. He states that she is normally alert and oriented, but this morning she is confused and not sure where she is. Her son called the PCP this am. The PCP recommended that she go to the emergency room for further evaluation. Upon arrival at the ED, pt was lethargic and febrile. VS as follows: Rectal Temp: 103.1, BP: 84/58, Pulse: 60 and regular, RR: 10 U/A and culture were sent: Culture grew out E. Coli This is my assessment report: Temp 99 O2:96 BP: 80/55 HR:40 RR:23 The patient is alert and oriented. Patient Catheter had 25ml of gross hematuria, pain at her private area on scale of 0-10 is 9. Abdomen is distended because she is retaining urine, she has a UTI. This is her lab values: UWBC: 100,000 BUN/Creat: 60/3.0 K+: 5.9 Na+: 135 CXRAY: left lower lobe atelectasis EKG: T-wave changes throughout, peaked T-wave. These are the patient medications: Entresto 49/51mg Toprol XL 100mg Lasix 80mg Farxiga 10mg Atorvastatin 80mg Spironolactone 50mg Base on the information provided, especially the labs report and medication please do the questions in the image below

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Outpatient And Physician Office Coding

Section: Chapter Questions

Problem 8MC

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This is the nursing report: Mrs. Dunbar is a 90-year-old female patient admitted to the Women's Health Unit at RIH. She lives at home with her son Michael. Michael states that she was in her frequency. He states that she is normally alert and oriented, but this morning she is confused and not sure where she is. Her son called the PCP this am. The PCP recommended that she go to the emergency room for further evaluation. Upon arrival at the ED, pt was lethargic and febrile. VS as follows: Rectal Temp: 103.1, BP: 84/58, Pulse: 60 and regular, RR: 10 U/A and culture were sent: Culture grew out E. Coli This is my assessment report: Temp 99 O2:96 BP: 80/55 HR:40 RR:23 The patient is alert and oriented. Patient Catheter had 25ml of gross hematuria, pain at her private area on scale of 0-10 is 9. Abdomen is distended because she is retaining urine, she has a UTI. This is her lab values: UWBC: 100,000 BUN/Creat: 60/3.0 K+: 5.9 Na+: 135 CXRAY: left lower lobe atelectasis EKG: T-wave changes throughout, peaked T-wave. These are the patient medications: Entresto 49/51mg Toprol XL 100mg Lasix 80mg Farxiga 10mg Atorvastatin 80mg Spironolactone 50mg Base on the information provided, especially the labs report and medication please do the questions in the image below