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
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- <u><em>Diagnosis Code</em></u><em>: K 22.7 </em><em>(CIE-10 code for Barrett's Esophagus)</em><em>
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- <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.
Answer:
The child might be suffering from impetigo which is the skin disease wherein the children are likely to develop red sores on any part of the body especially, around the nose and mouth.
Explanation:
Impetigo is a skin disease which can appear on any part of the body. It starts with tiny blisters which further starts revealing the moist and red skin. Impetigo is caused by group A <em>Streptococcus</em> and <em>Staphylococcus aureus</em>. It gradually develops into honey colored crust which starts spreading. If the infection penetrates into deeper layers of skin, it can lead to severe complication called ecthyma. impetigo can worsen in case of poor health hygiene and warmer temperatures.
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The most effective way for the nurse to proceed if the hospitalized client is hearing voices due to psychosis and is easily distracted, thus creating barrier in assessment completion, will be to complete the assessment in several short interactions.
<h3>How should a nurse deal with auditory hallucinations?</h3>
The clients who exhibit impaired cognition and psychotic thought processes tend to have insufficient attention span and thus may sometimes be unable to comprehend the questions being asked to them. The nurse may need several sessions with such clients to complete the assessment.
The most important aspect of such assessment is keeping the client under observation, but it also includes interaction with the client and engaging them in verbal communications. Only following this can ensure complete assessment. Psychiatric medications take some time to show their effect and the assessment shall be completed in a timely manner. In addition to this, the nurse can prepare themselves by planning for future acute psychiatric presentations by understanding how a client presents when in a psychotic state. It is within the scope of each nurse to complete the assessment. In the present scenario, the nurse has not been ineffective. The condition of the client is not favorable for conducting the complete assessment at once.
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Answer: Hydrochlorothiazide
Explanation:
Diuretic is a substance that promote urine production in the body. Hydrochlorothiazide is a class of diuretic drug. This is used to treat high blood pressure. This helps to get rid of excess water and salt through kidney which regulate the blood pressure hence,prevent cardiac strokes, kidney disease and liver disease. The hydrochlorothiazide is a called as a water pill as it helps in regulation of excess water in the body.
