In clinical documentation what would be reviewed to report on hospital performance of this quality measure or which portion of the record would provide the most accurate information to confirm the administration of antibiotics and its time?

This gentleman has worsening bilateral hydronephrosis. he did not have much of a post void residual on his bladder scan. he is taken to the operating room to have a bilateral cystoscopy and retrograde pyelogram. cpt code: icd10-cm code: icd10-cm code: icd10-cm code

You are caring for a 52-year- old woman who has been prescribed a major antipsychotic (neuroleptic) agent. after explaining the potential side effect, the client refuses to take the medication. how would you feel about taking a major antipsychotic (neuroleptic) agent, realizing the many side effects that these medications can cause? for psychoactive medications to be effective, client adherence is essential. how would you respond to a client who continually fails to follow his or her medication regimen?

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.