T2, T3, and T4. The construct was copiously irrigated and muscle; fascia and skin were closed in layers. Select the procedure codes for this scenario.
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- A 59-year-old male presented with DJD and spondylolisthesis at T4-T5. The patient is placed prone on the operating table, and after induction of general anesthesia, the lower back was sterilely prepped and draped. One incision was made over T2-T6. This was confirmed with a probe under fluoroscopy. Laminectomies were done at T4 and T5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from T2-T6 for arthrodesis. Pedicle screws were placed at T2, T3, and T4. The construct was copiously irrigated and muscle; fascia and skin were closed in layers. Select the procedure codes for this scenario.
- 63064, 63066, 22808, 22841 x 3
- 63046, 63048, 22610, 22641 x 3, 22842
- 63016, 63048, 22610, 22808, 22842 x 3
- 63003 x 2, 22610, 22614 x 3, 22842
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- A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The short-term goal for the patient is to be minimally assisted in bed mobility. What are two bed mobility activities to teach this patient to achieve this goal.Patient X- diagnosed with G6PD deficiency since birth, was prescribed with cotrimoxazole for UTI. She did not reveal her diagnosis to her physician. After 3 days, she began experiencing paleness and easy fatigability, when she went back for a follow-up, her RBC count was low. Which sets of laboratory and diagnostic parameters must be done to monitor the patient’s response to therapy? a. CBC, urinalysis, WBC with differentials and electrolytes b. CBC, urinalysis, serum creatinine, WBC differential, ALT c. CBC, urinalysis, fecalysis, ECG, ALT and AST, d.CBC, urinalysis, serum creatinine, ECGA patient with longitudinal abdominal incision from a laparotomy returned to the ward with Patient-Controlled Analgesia (PCA). The Patient-Controlled Analgesia (PCA) order is as follows: 2-mg bolus, 6-minute lockout, and a 4-hour limit of 30 mg.1. Provide two (2) reasons that advocates the use of Patient-Controlled Analgesia (PCA) 2. Explain the reason for lockout time [3. Provide two (2) possible adverse events with nursing management in relation to the use of Patient-Controlled Analgesia (PCA)
- a 55 -year-old man who has upon catheterization two-vessel CAD. He has adverse effects on nitrates and refused to use them again because they cause severe headaches. His medical history includes asthma and hyperlipidemia. What drug do you choose for him? Specify the name of the drug or its specific class? And Why?A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 1,2,3,4, and 5 if possible.A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove? Is there a relationship between the patient’s history and the findings at surgery? In general, what other types of infections might cause the current intracranial findings? Do you think the patient has a good prognosis based on the pathological findings? Could the patient be at risk for a CNS infection because of the craniotomy procedure? Please answer questions 3, 4, and 5.
- A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago. What type of lesion did Dr. Nelson find and remove?The nurse is cleaning an open abdominal wound that hasunapproximated edges. What are accurate steps in thisprocedure? Select all that apply. a. Use standard precautions or transmission-based precau-tions when indicated. b. Moisten a sterile gauze pad or swab with the prescribedcleansing agent and squeeze out excess solution.c. Clean the wound in full or half circles beginning on theoutside and working toward the center.d. Work outward from the incision in lines that are parallel toit from the dirty area to the clean area. e. Clean to at least one inch beyond the end of the new dress-ing if one is being applied. f. Clean to at least three inches beyond the wound if a newdressing is not being applied.A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?
- Mark Andres is a 54-year-old man who suffered from stroke 3 days ago. He is suffering from right sided paralysis and dysphagia. NGT was inserted 2 days ago and the doctor has ordered to feed the client with ensure 50 cc/hour for the first 24 hours then 70 cc/hour after the 24 hours. Upon assessment of the client, you noticed the he has loose watery stool. At the time of admission, Mark Andres is 5”7 tall and the weight 62kg. On examination the patient looks well, and noticed some drooling of saliva on his right side. His laboratory reports were as follows: WBC- 9x10 g/dl ( 11-14 g/dl) Na= 136/mmol/L ( 130-140mmol), K+ 3.8mmol/L(3.3-4.1 mmol/L), Urea=2.6 mmol/L (2.4-4.3 mmol/L), Crea 10 mcmmol/L (38-42 mcmmol/L), Questions: 1. Identify atleast 3 techniques on how you are going to feed your client in his condition ? 2.What are your nursing interventions to address the diarrhea of a client with NGT feeding? give 3 examples.What is the importance of bleeding time test while performing surgery?The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited edema around her hands, has severe dehydration, decreased urine output, and her uterus is still boggy. The V/S of the mother is BP: 140/90 mmHg, T: 37.0ºC, RR: 15 breaths/min, PR: 65 beats/min, and the mother verbalize pain and discomfort. Monitor V/S every 2 hours and record. what are the possible nursing diagnosis based on this situation?