CC: She is not sleeping and acts like her ear hurts HPI: 10-mo-old girl, who is scheduled to be seen for an "ear infection." Her mother reports that she was awake a lot during the night. "I think she was pulling at her right ear. Amoxicillin does not work for her." She also reports that last week she had a runny nose and a mild cough treated with Tylenol. Hasn't been eating as well as usual. Baby does not go to daycare, although her mother does meet other mothers and babies in the park on nice days, and they play together. She did that over the past week. She also reports that no one else in the household has been sick. Baby was full term, normal vaginal delivery with good Apgar scores. Still breastfeeding. She has a positive history for an ear infection at age 2 mo (treated with Amoxicillin), at 3 mo (treated with Bactrim), and at 4 mo (also treated with Bactrim). A mild effusion was noted at her 6-mo well child visit, but she was not treated, as she was asymptomatic at that time. Development milestones are within normal limits, and immunizations are up to date. PmHx: otitis media

What are the penalties and other legal actions defined by CMS for noncompliant hospitals?

Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…

A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker.a.    Why would you say that the client has angina pectoris and not myocardial infarction? b.    What instructions should the nurse give the client to prevent further attacks?     11, 12, 132. A 50-year-old stockbroker has recovered from coronary artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD?    3. A client is scheduled for an…

Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and…

7) Identify three complications resulting from increased ICP

tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…

A 70-year-old client is seen in the emergency department with an urinary tract infection. The provider orderssulfamethoxazole /trimethoprim. Which medication should the nurse alert the provider about, if given with the medication combo sulfamethoxazole /trimethoprim?

First part of the scenario Carol Brady is 65-year-old female who has been admitted to your ward overnight, following a fall from a ladder while she was cleaning windows at home yesterday. She has a fracture to her left tibia and a laceration above her left eyebrow, which received four sutures in ED. Her husband witnessed the fall and reports there was brief LOC. Phx: GORD, HT, Migraines.   You receive the following information during handover: Carol slept well intermittently overnight, waking with complaints of a headache and pain at # site. Analgesia was given by RN at 0400hrs. Dressing insitu above left brow and POP insitu left leg. We have not been able to assess her mobility as she has been sleeping most of the night and didn't want to disturb her.   Q1. Describe the nursing assessments you would perform on Carol       The second part of the scenario During your nursing assessment you find the following: That Carol has complaints of a headache and 8/10 pain at # site. On…

A patient arrives to the Emergency Department (ED) after sustaining a gunshot wound to the chest. An intercostal catheter (ICC) is inserted for haemopneumothorax and connected to the Underwater Seal Drainage (UWSD) system.1. Explain the term haemopneumothorax 2. List two (2) risks associated with intercostal catheters 3. Provide two (2) nursing strategies with rationales that you would include to help the patient to re-expand the lung