an 8-year-old client has been admitted for a vaso-occlusive crisis secondary to sickle cell anemia. hydration, oxygenation, and pain management are priority nursing actions that will be necessary to manage this client's care.
What is a vaso-occlusive crisis?When sickled red blood cells obstruct blood flow to the extent that tissues are deprived of oxygen, this is known as a vaso-occlusive crisis, or VOC. In an effort to address the issue, the body then triggers an inflammatory reaction.
Signs and symptoms of vaso-occlusive crisis :Small children may experience excruciating pain and swelling in their hands and feet (dactylitis). By the age of six, the majority of SCD sufferers begin to feel pain. Any portion of the body can experience pain, although the extremities, back, and chest are the most common places for it to manifest.
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the nurse is assessing a newborn's vital signs and notes the following: hr 138, rr 42, temperature 98.7of (37.1oc), and blood pressure 70/40 mm hg. which action should the nurse prioritize?
The correct option is the last option. The nurse is assessing a newborn's vital signs and notes the following: HR 138, RR 42, temperature 98.7oF (37.1oC), and blood pressure 70/40 mm Hg. Which action should the nurse prioritize? The nurse should prioritize Document normal findings
What are vital signs?The term vital signs in the field of medicine refers to the measurement of the basic functions of the body. The basic function of the body is usually four in number, these are: body temperature, blood pressure, breathing rate, and pulse rate.
The body temperature refers to the degree of hotness or coldness of the human body. The measurement is done using a thermometer. The blood pressure refers to the pressure at which the blood flows in the circulatory system. This is measured with the blood pressure meter. The pulse rate is also measured with same meter as the blood pressure meter.
The vital signs measured by the nurse are within the normal limits so the nurse should go on and document the findings. Hence the final option is the correct option.
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complete question
The nurse is assessing a newborn's vital signs and notes the following: HR 138, RR 42, temperature 98.7oF (37.1oC), and blood pressure 70/40 mm Hg. Which action should the nurse prioritize?
Report tachypnea.
Recheck blood pressure in 15 minutes.
Put warming blanket over infant.
Document normal findings.
What do amino acids do?
help the body use certain vitamins and create cell energy
aid growth, cell replacement, and cell and tissue repair
provide energy and help cells get energy from other nutrients
turn carbohydrates into proteins, fats, and fatty acids
Answer:
What amino acids do is aid growth, cell replacement, and cell and tissue repair.
Explanation:
Amino acids are the units that make up the structure of proteins, necessary for the structure and function of living beings.
Due to the structural function of proteins —capable of forming tissues such as muscle and collagen that are present throughout the body— it can be said that amino acids contribute to growth and development. In addition, amino acids and proteins can assist in cell renewal and repair of cells and tissues.
The other options do not correspond to functions of the amino acids:
Help the body use certain vitamins and create cell energy is a function of the lipids. Provide energy and help cells get energy from other nutrients is a function of carbohydrates. Turn carbohydrates into proteins, fats, and fatty acids is not a amino acid function.when providing instruction regarding the knowledge, skill, and attitudes (ksas) needed to develop core competencies based on the unstitute of medicine's (iom)
The nurse instructor is teaching nursing students about the knowledge, skills, and attitudes (KSAs) needed to develop core competencies based on the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN) initiative. The KSAs that are needed to develop the Quality Improvement competency are:
Educating and empowering patient.Using tools to reduce reliance on memory.Preparing an interdisciplinary plan of care.Participating in root cause analyses of issue.Implementing activities to improve care processesWhat do the KSAs for Informatics competence emphasize?The emphases of the KSAs for Informatics competence includes documentation, electronic data access, and data utilization. Informatics involves using technology and information to communicate, manage knowledge, mitigate error, and support decision-making.
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Complete Question: The nurse instructor is teaching nursing students about the knowledge, skills, and attitudes (KSAs) needed to develop core competencies based on the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN) initiative. What KSAs are needed to develop the Quality Improvement competency?
the hospital has an english-speaking nurse (nurse moss) assess one english-speaking patient with the new form. it is a successful test and the improvement team wants to increase the scale of the next test. what should they do?
Increase the number of patients Nurse Moss assesses by a factor of 5 is what should they do if they want to increase the scale of the next test.
The optimum solution is to five-fold (increase by a factor of 5) the number of patients Nurse Moss assesses. The 5X Rules advise an increase by a factor of five in each of the consecutive test due to the fact that scale refers to the number of interactions inside the test, and in this case, the number of patients that are getting the evaluation.
A change in the test's parameters, such as the personnel or even the language used, would represent a change in scope as opposed to scale.
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chen y, yang d, cheng b, et al. clinical characteristics and outcomes of patients with diabetes and covid-19 in association with glucose-lowering medication. diabetes care. 2020;43:1399–407.
The ratio of comorbid diabetes is same between cases of confirmed and diagnosed COVID-19. The symptoms are restlessness, high blood sugar level and high fever.
What is self esteem?Self esteem is confidence in one's own or abilities. Self esteem defines the individual confidence on anything. If a person have a high self esteem then there mental health are very good they can do more work than other person which have less confidence than him.
The healthy lifestyle always gives you a best confidence than anything else, because in modern era we can see that many person have everything but it doesn't have good health due to this they have less confidence like some person are suffered from obesity, hypertension, diabetes, and all these disease are due to poor lifestyle. So we can say that health is wealth.
Therefore,The ratio of comorbid diabetes is same between cases of confirmed and diagnosed COVID-19. The symptoms are restlessness, high blood sugar level and high fever.
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feasibility of a multdisciplinary lung cancer videoconference between a peripheral hospital and a comprehensive cancer centre.
Feasibility of a multdisciplinary lung cancer videoconference between a peripheral hospital and a comprehensive cancer center in this case radiotherapeutic treatment is prescribed.
What is circulatory system?A circulatory system is defined as a system in the body that consists heart, blood vessels, arteries, veins and blood that all combined together to supply blood to all parts of body and takes up waste material from it.Circulatory system have four major components and these are heart, veins, arteries, and blood. These are the four components that combined and form cardiovascular system.
Respiratory system is defined as the system that performs the function of gaseous exchange.During this process fresh air is inhaled and waste material in form of carbon dioxide is released out.
Therefore,Feasibility of a multdisciplinary lung cancer videoconference between a peripheral hospital and a comprehensive cancer center in this case radiotherapeutic treatment is prescribed.
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a newborn’s vital signs are documented by the nurse and are as follows: hr 144, rr- 36, bp- 128/78, and t- 98.6℉ (37℃). which finding would be concerning to the nurse?
A newborn’s vital signs are documented by the nurse and are as follows: hr 144, rr- 36, bp- 128/78, and t- 98.6℉ (37℃). The Blood pressure finding would be concerning to the nurse.
What is the average blood pressure of a newborn?The baby’s blood pressure rises as the baby gets bigger. Normal blood pressure for a newborn is 64/41. Between the ages of one month and two years, the average blood pressure of a child is 95/58. It is common for these numbers to vary.
Infants with hypertensionHigh blood pressure is characterized by increased blood pressure against the body's arteries (hypertension). This article is about infants with high blood pressure.
Causes of HypertensionBlood pressure is a gauge for the health of the arteries and the workload of the heart. Two figures are used each time blood pressure is assessed:
The first (top) number is the systolic blood pressure, which measures the pressure of blood released as the heart beats.
The second (bottom) number, or diastolic pressure, measures the pressure in the arteries while the heart is at rest.
Readings of blood pressure are given as 120/80. These two numbers can be excessive.
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a client who has just had a triple-lumen catheter placed in his right subclavian vein complains of chest pain and shortness of breath. his blood pressure is decreased from baseline and, on auscultation of his chest, the nurse notes unequal breath sounds. a chest x-ray is immediately ordered by the physician. what diagnosis should the nurse suspect?
The nurse will suspect Pneumothorax which is a collapse condition of lungs include chest pain, dyspnea, neck pain, irritability, palpitations, light-headedness, hypotension, cyanosis, and unequal breath sounds. Thus option 4 is correct.
What is Pneumothorax ?A pneumothorax is a collapsed condition of lung which occurs when air leaks into the gap between lung and chest wall and here air pushes on the outside of lung resulted in collapse of lungs.
A pneumothorax can be either complete lung collapse or partial lung collapse, caused by a blunt or penetrating chest injury, damage from lung disease.
Symptoms are sudden chest pain and shortness of breath, a collapsed lung can be a life-threatening form; Treatment should involve insertion of a needle or chest tube between the ribs to remove the excess air.
Thus option 4 is correct.
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Your question was incomplete, Hence the probable question is
A client who has just had a triple-lumen catheter placed in his right subclavian vein complains of chest pain and shortness of breath. his blood pressure is decreased from baseline and, on auscultation of his chest, the nurse notes unequal breath sounds. a chest x-ray is immediately ordered by the physician. what diagnosis should the nurse suspect?
1. Pulmonary embolism
2. Myocardial infarction
3. Heart failure
4. Pneumothorax
All estheticians should take
O Psychology and Biology
O Anatomy and Physiology
O Anatomy and Psychology
O Astronomy and Psychology
a client is prescribed alprazolam. which action must the nurse include in the client assessment during the initiation of therapy? quizlet
Assess the client's feelings about alprazolam further is the action must the nurse include in the client assessment during the initiation of therapy for a client that is prescribed with alprazolam.
Treatment for anxiety and panic disorders involves alprazolam. It is a member of the benzodiazepine drug class, which has calming effects on the central nervous system and the brain. It functions by boosting the body's natural chemical's effects (GABA).
When used with other drugs, alprazolam can raise the risk of significant or fatal respiratory issues, drowsiness, or coma. Alprazolam is available as a tablet, an extended-release tablet, an oral disintegrating tablet (a tablet that dissolves fast in the mouth), and an oral liquid concentration.
Typically, two to four times a day is the recommended dosage for the tablet, orally disintegrating tablet, and concentrated solution. One daily dose of the extended-release pill is taken, often in the morning.
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how many cm are in 10 in
the patient is a 74 year old woman who is prescribed to take trimethoprim/sulfamethoxazole (Bactrim) for a severe urinary tract infection. The prescription says she is to take 1 tablet every 12 hours for the next 14 days. She tells you that we all take too many drugs and plans to stop taking the drug as soon as the pain and burning on urination goes away.
1) What type of drug is trimethoprim/sulfamethoxazole and how does it work?
2) Is it okey for her to stop taking the drug as soon as the symptoms are gone? Why or why not?
3) What are the side effects of this drug?
4) What precaution and actions should this patient be taught about this drug?
(any help is well received please and thank you)
answer:
Remedy of UTIs. whilst treating clear-cut, acute cystitis within the walking-properly geriatric population, using first-line antibiotics, such as sulfa drugs (sulfamethoxazole/trimethoprim) for three days or ampicillin, is enough. No cultures are vital if that is a primary-time event.A 3-day course of trimethoprim-sulfamethoxazole (TMP/SMX; Bactrim, Septra) is suggested as an empiric remedy for straightforward urinary tract infections (UTIs) in women, in regions wherein the rate of resistant escherichia coli are much less than 20 percent.Sulfamethoxazole and trimethoprim combination is used to treat infections such as urinary tract infections, middle ear infections (otitis media), bronchitis, traveler's diarrhea, and shigellosis (bacillary dysentery).
during a routine physical examination, the nurse assesses a blood pressure reading of 150/90 mm hg. the patient's blood work indicates several abnormal results. the health care provider informs the nurse that he suspects that the patient has metabolic syndrome. the nurse knows that this diagnosis is associated with three classic signs/symptoms. select all that apply.
Blood pressure reading greater than 130/85 mm Hg, Dyslipidemia and/or abdominal obesity, Insulin resistance.
Low-density lipoprotein cholesterol (LDL-C), triglycerides, and high-density lipoprotein are among the lipids that are imbalanced in dyslipidemia (HDL). This illness, which can cause cardiovascular disease with serious consequences, can be brought on by food, cigarette use, or genetics.Primary and secondary dyslipidemia are the two categories for dyslipidemia. Triglycerides (TG) and low-density lipoprotein (LDL) are produced in excess or with improper clearance due to single or multiple gene mutations, whereas high-density lipoprotein is produced in excess or with improper clearance due to gene abnormalities (HDL).Abdominal obesity is defined as a waist circumference of more than 88 cm (35 inches) in women and more than 102 cm (40 inches) in men.To know more about Abdominal obesity visit:
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fatoba aj, adeleke ma. diagnosis and control of chicken coccidiosis: a recent update. j parasit dis. 2018;42(4):483–93.
The fatal illness of coccidiosis reduces the welfare and production of chickens. The disease thus poses a significant threat to the global chicken industry.
The apicomplexan parasite known as coccidiosis, which affects various parts of the chickens' intestinal tract, has seven main types. Ineffective poultry handling has been connected to the disease caused by consuming sporulated oocysts.
Mixed infection among the species of this parasite results in both the pathogenicity and inaccurate identification of the disease. It has been claimed that this parasite has advanced in terms of pathological, morphological, and molecular methods for identification and diagnosis. The majority of the literature on this condition has concentrated on prevention measures, such as anticoccidial drugs, vaccines, and herbal remedies.
However, the increase of genetic and antigenic diversity with implications for anticoccidial medications resistance among several strains of the parasite Eimeria has raised questions about the efficacy of the available anticoccidial vaccinations.
Therefore, it is crucial to take a fresh look at the control method. With a focus on :
(1) Avian coccidiosis
(2) Epidemiology of chicken coccidiosis
(3) Eimeria parasite and distribution in poultry
(4) Diagnosis of Eimeria parasite
(5) Control measures of coccidiosis
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a nurse is assessing a newborn and obtains the newborn's head circumference. the head circumference is 35 cm. the nurse then measures the newborn's chest circumference. which chest circumference measurement would the nurse document as expected and within normal parameters?
33cm.
The average chest circumference is between 30 to 36 cm (12 to 14 in). It typically measures 2 to 3 cm less than the head circumference or equal to it.
What is known as a chest?The region of the body between the neck and the abdomen is known as the chest. The heart, lungs, and a portion of the aorta are all located in the chest. The sternum, ribs, and dorsal vertebrae support the walls of the chest called thorax as well.
What causes chest pain?Pneumothorax, pulmonary embolism, and bacterial or viral infections are the most typical causes of pleuritic chest discomfort. Lupus, cancer, and rheumatoid arthritis are some other less frequent causes. lung infection or pneumonitis. Pleuritic and other types of chest pain, including a severe discomfort in the chest, can be brought on by certain lung infections.
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an unconscious adolescent with type 1 diabetes is brought to the emergency department. the blood glucose level is 741 mg/dl. which finding would the nurse expect during the initial assessment
The nurse would expect the finding of hyperpnea in an unconscious adolescent with type 1 diabetes brought to the emergency department who has the blood glucose level of 741 mg/dl.
Hyperpnea is the condition of increased volume of the lungs due to abnormally deep breathing. It can be normally experienced in daily life when the body demands for excess oxygen, such as during workouts. However the condition can also arise due to some disease.
Type I diabetes occurs when the pancreas stops the synthesis of insulin. The cause of the disease can be genetic or environmental. Currently there is no permanent sure for diabetes, however the disease can be kept under control with a healthy lifestyle, proper workout and healthy meals.
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a primiparous client, 20 hours after giving birth, asks the nurse about starting postpartum exercises. what instructions would be most appropriate to include in the plan of care?
a primiparous client, 20 hours after giving birth, asks the nurse about starting postpartum exercises. Flex the knees while supine, inhale deeply and exhale while contracting the abdominal muscles instructions would be most appropriate to include in the plan of care.
What are postpartum ?Postpartum is defined as the period of childbirth, most mothers experience the baby blues or they feel sad or emptiness and these newborn blues disappear in 3 to 5 days for most mothers.
person may suffer from postpartum depression if your baby blues are persist or if person feel depressed, hopeless, or empty for more than two weeks.
Women who feed well may get their first postpartum period after six weeks after giving birth, a year or more later, or even 18 months later.
There are certain rules should be taken like washing before milk feeding.
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for which patient can the nurse delegate to nursing assistive personnel (nap) the task of routine blood glucose monitoring?
It is the patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist.
Although his or her blood glucose level would not be affected by this disease, it would interfere with their capacity to perform blood glucose monitoring on themselves.
So, it may be assigned. Patients with diabetes experience an 87% longer healing time for fractures and are 3.4 times more likely to experience problems such delayed union, non-union, redislocation, or pseudoarthrosis.
Human clinical investigations show that diabetes slows the healing of fractures. In a closed reduction, the skin is not sliced open in order to fix (reduce) a fractured bone. When a fractured bone is set in its proper position, it might heal with better alignment. When it is carried out as soon as the bone breaks, it works best.
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Question correction:
For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine blood glucose monitoring?
- Patient with non insulin-dependent diabetes for whom steroid therapy has been ordered
- Patient with type 2 diabetes who required insulin coverage at the last testing
- Patient with type 1 diabetes who has had nausea and vomiting for 24 hours
- Patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist
ICD - 10 -cm codes indicate the for services performed
after administering a loop diuretic, a nurse monitors the client for increased urine output. what principle explains the secondary water loss (diuresis) of a loop diuretic?
The correct answer for this question is Osmosis.
Osmotic diuresis is an increase in urine production brought on by the presence of specific chemicals in the tiny kidney tubes. When chemicals like glucose enter the kidney tubules and cannot be reabsorbed, excretion takes place (due to a pathological state or the normal nature of the substance). The compounds raise the osmotic pressure inside the tubule, which causes water to be retained in the lumen and inhibits water absorption, boosting urine production (i.e., diuresis). Therapeutics like mannitol, which is used to improve urine output and decrease extracellular fluid volume, have the similar effect.
By making the blood more osmolar, substances in the circulation can also increase the volume of fluid flowing through the body.
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nurses on a specialty surgical unit were interested in how they could improve the pain management of patients undergoing orthopedic surgery while minimizing narcotic utilization picot
P-Patients having orthopaedic surgery are designated as .
I - Using IV Tylenol and reducing the need for narcotics
C - Managing pain by using less opioids and giving IV Tylenol instead
O - Pain treatment for orthopaedic surgery patients
T - No time limit
What do you mean orthopedic?A field of medicine that focuses on treating or preventing malformations, illnesses, and injuries to the skeleton and related structures (such as tendons and ligaments)
What exactly is an orthopedic issue?Orthopedic concerns include any abnormalities involving the musculoskeletal structure of your body. The majority of orthopedic diseases are uncomfortable, and if they are not appropriately treated, they might result in other health issues.
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which of the following was used to determine fair charges for physician services?
A. UCR
B. Relative Value Unit
C. DRG
D. Fee Schedule
the nurse is reviewing a newly admitted client's electronic health record, which notes a history of orthopnea. what nursing action is most clearly indicated?
The nurse is reviewing a newly admitted client's electronic health record, which notes a history of orthopnea. nursing action is most clearly indicated to avoid positioning the client supine.
What is orthopnea ?Orthopnea is the feeling of being out of breath while lying down; it is remedied by sitting or standing. A feeling of shortness of breath that causes the patient to wake up, frequently after one or two hours of sleep, is known as paroxysmal nocturnal dyspnea (PND), and it is typically resolved when the patient is upright.
What is the difference between dyspnea and orthopnea?No matter their position, a person can feel dyspnea, which is shortness of breath. When someone has orthopnea, they have trouble breathing while lying down.
Symptoms :When you lie down with orthopnea, you could feel out of breath. The sensation could start out suddenly or build up gradually. Additionally, you can suffer other symptoms including wheezing, coughing, or heart palpitations, as well as tightness or pain in your chest.
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a newborn was delivered 25 minutes earlier. once identification bands have been applied and vital signs have been taken, what is the initial intervention the nurse should make?
Childbirth is the process of giving birth. The correct order of the nursing intervention includes assistance to the mother for breastfeeding, vitamin shots, a sensor probe, and examination. Thus, the correct sequence is 3, 2, 1, 5, and 4.
What are nursing interventions?Nursing interventions are the process of judging and performing the takes based on the observed situation in any medical or health need. When a newborn is delivered then the nurse has to assist the mother with the breastfeeding procedure.
The vitamin K and erythromycin eye ointment have to be given for well-being followed by placing the infant in a warmer that has to be attached to the sensor probe. A head-to-toe physical examination of the child along with recording height and weight must be done.
Therefore, the correct order of nursing actions includes 3, 2, 1, 5, and 4.
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Your question is incomplete, but most probably your full question was, Place these actions in the order of their priority.
Placing the infant under a warmer and attaching a sensor probeGiving erythromycin eye ointment and a vitamin K shotAssisting the new mother with breastfeedingTaking and recording weight and heightPerforming a head-to-toe physical examinationSocial media has no impact on health and wellness. *
O True
False
Answer:
False.
Explanation:
Social media can have a huge impact on mental health.
when preparing to clean a patient’s dentures using the sink, the nurse first protects the dentures by doing what?
Padding the sink basin with a washcloth is how the nurse should protect the dentures when preparing to clean a patient’s dentures using the sink.
What is Denture?This refers to substances which can be moved from one place to another and are used to replace missing parts of the body such as the teeth, arm etc.
The dentures should be cleaned from time to time so as to prevent contamination with different types of pathogens such as bacteria etc.
This should be done using the sink in which it must be padded with a washcloth so as to ensure that it is not washed down the drainage system so as to save resources such as money needed to get it.
This helps to prevent the loss of the item and is therefore the reason why it is the first action which has to be done before washing occurs and is the most appropriate choice in this type of scenario.
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a nurse is caring for a client who has just been diagnosed with lung cancer. what is a cardinal sign of lung cancer?
According to the research, the correct option is chronic cough. It is a cardinal sign of lung cancer.
What is lung cancer?It is a type of cancer that arises from the exaggerated proliferation of certain lung cells, causing local problems due to occupation of space and compression of nearby structures.
The symptoms, caused by the local growth of the tumor and invasion of neighboring pulmonary structures, include chronic persistent cough, associated or not with expectoration.
Therefore, we can conclude that according to the research, the correct option is chronic cough. It is a cardinal sign of lung cancer.
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a muscle imbalance that controls the child's eye resulted in 2 lazy eyes. what medical professional would be the best option to resolve the issue
Answer:
Pediatric Ophthalmologist
Explanation:
Pediatric Ophthalmologists treat eye disorders in children.
a charge nurse is authorized to make changes in the number of staff members who work a shift. within which nursing role is the charge nurse functioning?
A charge nurse is authorized to make changes in the number of staff members who work a shift which means her role is that of a manager and is denoted as option B.
Who is a Nurse?
This is referred to as a healthcare professional who is trained and specializes in caring for the sick and ensuring that adequate recovery is achieved.
The role of a manager in an establishment is to coordinate the workforce and ensure that the activities are adequately done which will result in a high yield.
The required changes are also done due to the individual being able to make such types of decision which is therefore the reason why it was chosen as the most appropriate choice.
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The options are:
a. Leader
b. Manager
c. Collaborator
d. Delegato
a surgeon performed a cataract extraction with an intraocular lens implant on the right eye of a medicare patient. what modifier(s) would be reported?
A surgeon performed a cataract extraction with an intraocular lens implant on the right eye of a medicare patient right modifier(s) would be reported.
Briefing :
Procedures performed on paired organs, such as the eyes, ears, breasts (except the skin), or sides of the body, are denoted by the modifiers RT and LT.
What is cataract extraction ?Surgery to remove the clouded lens from the eye is called a cataract extraction (ex-TRACK-shun). On the eye's surface, close to the cornea, the clear portion of the eye, the surgeon creates a small incision (cut). The material from the clouded lens is removed from the eye using a little device that is put via the incision.
Cataract surgery is a simple procedure that typically lasts between 30 and 45 minutes. You should be able to return home the same day because it is frequently performed as a day surgery under local anesthesia.
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