The nursing initial assessment upon admission documents the presence of a decubitus ulcer.
There is no mention of the decubitus ulcer in the physician documentation until several days
after admission. The present on admission (POA) indicator is
A. Y = Present at the time of inpatient admission.
B. N = Not present at the time of inpatient admission.
C. U = Documentation is insufficient to determine if condition was present at the time of
admission.
D. W = Provider is unable to clinically determine if condition was present at the time of
admission.
Question 2
Which code represents needle biopsy of salivary gland?
a. 42100
b. 42300
c. 42400
d. 42405
Nursing history for hair and scalp assessment
Patient teaching: mouth and pharyngeal assessment
Patient teaching: vascular assessment
Patient teaching: female breast assessment
Nursing history for abdominal assessment
Drugs for Peptic Ulcer Disease