a patient is sent to a general surgeon by her family physician for an opinion and recommendation for surgical repair of a recurrent femoral hernia, right. a brief problem focused history and exam are performed. the mdm complexity was straightforward. what is the correct e/m service code?

Answers

Answer 1

The correct e/m service code is CPT Code: 99241

ICD-10-CM:

K41.91

A femoral hernia occurs when fatty tissue or a portion of your bowel protrudes through the top of your inner thigh into your groin. It pushes through a weak spot in the surrounding muscle wall (abdominal wall) into an area called the femoral canal. Femoral hernias are generally not life-threatening medical conditions. Strangulation of the hernia can become life-threatening, however, and must be treated through emergency surgery.

Femoral hernias are frequently confused with inguinal hernias due to their proximity. Femoral hernias are relatively uncommon. If the hernia is not repaired, the intestine can become trapped inside. This is referred to as an incarcerated or strangulated hernia. It has the potential to cut off blood supply to the intestines.

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Related Questions

you are called to a 'patient down' at a private residence. as you get inside and into the back bedroom, you can see that there is a woman face down and motionless. she does not appear to be conscious and there is a pool of saliva next to her head. your partner maintains spinal precautions as you roll her onto her back. the husband states that she has a history of heart problems, takes a lot of medications, and has no allergies. what would you do next?

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Ensure there is no carotid pulse before starting CPR.

Fat deposits (plaques) obstruct the blood vessels that provide blood to your brain and head, causing carotid artery disease (carotid arteries). The obstruction raises your risk of having a stroke, a major medical emergency that happens when the blood supply to the brain is cut off or significantly diminished.

When the heart stops beating, CPR, or cardiopulmonary resuscitation, is a life-saving emergency operation. After cardiac arrest, immediate CPR can increase survival rates by a factor of two to three.

Maintaining blood flow, even if just partially, increases the chance of a successful resuscitation once trained medical personnel arrive on the scene.

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morphine is ordered to infuse at 3mg/hr. the medication is prepared with 60mg of morphine in 250ml of fluid. at what rate should your pump be set

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12.5 ml/hr is the right answer. The dosage of morphine to be infused is 3 mg/hr. 250 cc of liquid and 60 milligrammes of morphine are used to produce the medicine. 12.5 ml per hour should be the setting for your pump.

[tex]X mL/hr = 250mL/60 mg x 3 mg/hr= 12.5 ml/hr[/tex]

If you only need to calculate the infusion rate, or the amount of medication to be infused every hour, divide the total volume in mL by the total number of hours the drug is to be infused over to get the rate in mL per hour. For intravenous delivery, it's crucial to administer morphine gradually over a period of 4 to 5 minutes while the patient is lying down. In adults and adolescents older than 12 years old, appropriate starting doses of morphine for continuous intravenous infusion are 1-2 mg per hour.

So, we can conclude that the correct response is 12.5 ml/hr. Your pump's setting should be 12.5 ml per hour.

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a client who is in rehabilitation following a cerebrovascular accident (or brain attack) is experiencing total hemiplegia of the dominant right side. the nurse finds that the client needs assistance with eating to ensure optimum nutrition. which action is most important for the nurse to take to facilitate rehabilitation with eating?

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Answer:

The most important action for the nurse to take to facilitate rehabilitation with eating for a client who is experiencing total hemiplegia of the dominant right side following a cerebrovascular accident is to assess the client's swallowing function. This is important because individuals with hemiplegia often have difficulty swallowing, which can lead to malnutrition and other complications. The nurse can assess the client's swallowing function by performing a swallowing evaluation, which typically involves observing the client while they eat and drink to identify any problems with swallowing. Based on the results of the evaluation, the nurse can recommend appropriate interventions to improve the client's swallowing function and ensure that they are able to eat and drink safely and optimally.

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Explanation:

1. A medical order states that a patient is to receive 500 mL of 0.9% sodium chloride IV over two
hours. How fast is the IV running in ml/hr?

Answers

Hello,

I hope you and your family are doing well!

To find the rate at which the IV is running in ml/hr, you can use the formula:

rate = volume/time

In this case, the volume of the IV is 500 mL and the time it is to be infused is 2 hours. Substituting these values into the formula gives us:

rate = 500 mL / 2 hours = 250 mL/hr

Therefore, the IV is running at a rate of 250 mL/hr.

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Best,

a client with a spinal cord injury is to receive methylprednisolone sodium succinate 100 mg intravenously twice a day. the medication is supplied in vials containing 125 mg per 2 ml. how many ml will constitute the correct dose? enter the correct number only.

Answers

The correct dose maybe 1.6 ml. Use of high-dose methylprednisolone within eight hours of acute closed spinal cord injury as a therapy standard or as a treatment is not supported by enough research.

Within eight hours of a closed spinal cord injury, a bolus intravenous infusion of methylprednisolone at a dose of 30 mg per kilogram of body weight administered over fifteen minutes, followed 45 minutes later by an infusion of 5.4 mg per kilogram of body weight administered every hour for 23 hours, is the only course of treatment for which there is only weak clinical evidence (Level I- to II-1). If methylprednisolone infusion is chosen as a therapy option, there is not enough evidence to justify continuing it past 23 hours.

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which antibiotics may be administered topically? (select all that apply) group of answer choices ofloxacin daptomycin polymyxin b rifampin bacitracin

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Both Bacitracin and Polymyxin B are antibiotics used topically. Rifampin, ofloxacin, and daptomycin are not designed to be applied topically.

A particular class of antimicrobial agent that works against bacteria is an antibiotic. Antibiotic drugs are frequently employed in the treatment and prevention of bacterial infections because they are the most effective type of antibacterial agent for doing so.

Bacteria are common, largely free-living creatures that frequently only have one biological cell. They make up a significant portion of the prokaryotic microbial kingdom. Bacteria, which are typically a few micrometers long and were among the first living forms to arise on Earth, are found in the majority of its habitats.

Bacteria may be killed or have their growth suppressed. Antibiotics frequently cause rash, nausea, dizziness, diarrhea, and yeast infections as side effects.

The most severe adverse effects include diarrhea caused by the Clostridioides difficile infection (commonly known as C. difficile or C. diff), which can cause severe colon damage and even death.

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the nurse is preparing to administer hepatitis b vaccine, recombinant (energix-b) 5 mcg im to a school-aged child. the vaccine is labeled, 10 mcg/ml. how many ml should the nurse administer?

Answers

Use ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml 10X = 5 X = 0.5 ml

Most people who are vaccinated with hepatitis B vaccine are immune for life. Hepatitis B vaccine is usually given as 2, 3, or 4 shots. Infants should get their first dose of hepatitis B vaccine at birth and will usually complete the series at 6–18 months of age.Hepatitis B vaccine is a vaccine that prevents hepatitis B. The first dose is recommended within 24 hours of birth with either two or three more doses given after that. This includes those with poor immune function such as from HIV/AIDS and those born premature.The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B (HepB) vaccination among all adults aged 19–59 years and adults > 60 years with risk factors for hepatitis B or without identified risk factors but seeking protection.

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an orthodox jewish pregnant woman comes to the labor and birth suite with her birth attendant. her partner is also present in the room. the woman is about to give birth when the nurse observes the partner move to the head of the bed outside the view of the birth. the nurse interprets this action as:

Answers

According to the condition of the question, the nurse interprets this action as the reflection of the couple's religious beliefs and practices.

What is the major responsibility of the nurse to pregnant women?

The prenatal nurse monitors the health status of the mother and fetus, provides emotional support, and teaches the pregnant woman and her family about physiological and psychological changes during pregnancy, fetal development, labor and childbirth, and care for the newborn.

According to the context of this question, when a woman is about to give birth when the nurse observes the partner move to the head of the bed outside the view of the birth. This demonstrates the reflection of the couple's religious beliefs and practices towards their same culture and emotions.

Therefore, the nurse interprets this action as a reflection of the couple's religious beliefs and practices.

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