The nurse is preparing to conduct a head to toe and should plan to collect the client's general appearance information during:-
when introducing yourself to the client, when asking about their health history, and when taking their vital signs.
what do you mean by head-to-toe assessment ?
A thorough technique called a head to toe evaluation determines the state of health of all significant body systems. It is a thorough physical examination that highlights a patient's requirements and issues. This assessment should be done by an RN, though occasionally a doctor or EMT might also perform it. Assessments from head to toe take place during primary care visits or yearly physicals.
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Answer:
In a patient underwent a single contrast upper GI series on Tuesday due to severe daily esophageal burning for six weeks, whose radiological diagnostic impression was Barrett's esophagus.
- <u><em>Day of encounter</em></u><em>: </em><em>Tuesday
</em>
- <u><em>Diagnosis Code</em></u><em>: K 22.7 </em><em>(CIE-10 code for Barrett's Esophagus)</em><em>
</em>
- <u><em>Procedure Code</em></u><em>: 74240</em>
Explanation:
Barrett's esophagus is a clinical condition characterized by a change in the esophageal epithelium due to repeated exposure to gastric juices, by reflux, or other mucosal irritants.
Corrosive agents are considered to produce a change in the epithelium called metaplasia, associated with symptoms of esophageal burning and pain.
The ICD-10 code for Barrett's esophagus is K 22.7.
The procedure, which consists of a radiological examination of the upper digestive tract with the use of barium contrast has a code of 74240, which describes this type of radiological examination.
Options for the question have not been given. They are as follows:
a) "Would you like me to call your parents?"
b) "I am sorry this is happening to you."
c) "You have a lot to live for."
d) "The voices are not real."
Answer:
b) "I am sorry this is happening to you."
Explanation:
The client is having hallucinations of voices telling him that he is worthless. He is suffering from low confidence and does not feel good enough even though he has achieved significantly in life. He also has history of self harm. So, the client has started to shut out the world and be in his own thoughts.
In this case, before approaching any treatment, it is necessary for the nurse to make the client comfortable. She should be empathetic and show genuine concern which will make the client trust her more. If the nurse just abruptly tells the client that his hallucination is not real or that she wants to inform his parents, he might become even more reclusive. He might even refuse to participate in the future treatment.
So instead of forcing him to understand his condition or telling him to be positive, it is first important for the nurse to build a healthy connection with him. Thus, option b) is correct.
Answer is Methadone, Heroin and Opium
