16 hours ago Which of the following BEST describes "established patient"? ... 2014 will be used to report both inpatient and outpatient diagnosis codes. Choose all of the following areas where E/M services may be provided *Family practice physician's office ... *examination *medical decision making. >> Go To The Portal
The client is asked to hold the head steady, and then to follow movement of an object through the positions of gaze. The client should follow the object in a parallel manner with the 2 eyes.
Other lists are included, ex. medications, blood pressures, lab results, and surgeries. Forecast of the outcome of a disease or injury. Written observations made at examinations of a patient subsequent to an initial examination.
The nurse notes that the primary health care provider has documented a diagnosis of presbycusis on a client's chart. Based on this information, what action should the nurse take?
Select the choice below that best describes the sequence of a joint examination. 1. Palpation 2. Passive range of motion 3. Range of motion against resistance 4. Range of motion against gravity 5. Inspection You are able to feel vibrations through the chest wall as your patient speaks. This is called:
Clinical record of the findings of physical and chemical analysis of specimens. meaningful use. EHR technology used in a meaningful way for the purpose of electronic exchange of health information, electronic prescribing, and submission of information on clinical quality measures. medical record.
electronic health record (EHR) Computerized medical record system that has the capability to capture and store data in electronic form and to be transmitted within one medical practice or health care organization. electronic health record practice management system.
symptom. Any indication of disease or disorder that is perceived or experienced by the patient; usually described in subjective terms, for example, depressed, confused, experiencing pain, or tired. treating or performing physician. Provider who renders a service to a patient or completes a test.
attending physician. Medical staff member who is legally responsible for the care and treatment given to a patient. audit. Periodic examination or review of patient records to verify record-keeping, documentation for level of service billed, and proper medical care. case history.
On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished.
The right eye is tested, followed by the left eye, and then both eyes are tested. Visual acuity is assessed in 1 eye at a time , and then in both eyes together, with the client comfortably standing or sitting. The right eye is tested with the left eye covered; then the left eye is tested with the right eye covered.