Instructions: Review each case study and select the correc…

  Instructions: Review each case study and select the correct ICD-10-CM diagnostic code.    Case  DISCHARGE SUMMARY: Admitted 2/03/XX Discharged 2/07/XX Admitting Diagnosis: Unstable angina Atrial fibrillation HISTORY: This 69-year-old man was admitted through the ER with chest pain that began while he was eating his lunch. After lunch he went to do his grocery shopping, and he began to develop discomfort in his chest as well as in his jaw. He drove himself to the ER. The ER physician admitted the patient due to unstable angina. Vital signs at time of admission: BP: 140/60, Heart rate: 110 to 120 HEART: Patient complains of chest pain. All other physical findings were within normal limits. HOSPITAL COURSE: Cardiac enzymes-CPK of 105, Troponin-4.7 with a relative index of 5.4 Digoxin level was 1.8. All other lab values were normal. EKG was positive for a new anterior wall infarction. The patient was maintained on Imdur 30 mg daily and metoprolol 50 mg in the morning and evening. The patient stabilized and was instructed to see me in 7 days. Discharge Diagnosis: Acute anterolateral transmural Q wave infarction Hypertension ICD-10-CM Code Assignment:

When evaluating the effectiveness of preoperative teaching w…

When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the patient says which of the following?