The nurse is concerned that the hospital will not receive payment ...

[Sportsfan2111]

The nurse is concerned that the hospital will not receive payment for care provided to a client. Which client health problems are causing the nurse this concern?
 
  1. Intravenous fluids were prescribed for 4 days.
  2. X-rays of the left leg and left arm were prescribed.
  3. A stage II pressure ulcer developed on the client's heels.
  4. A urinary tract infection occurred because of an indwelling urinary catheter.
  5. Physical therapy treatments were prescribed for 7 days for crutch walking.

Question 2

The nurse is considering a position with a home health agency. What type of care should the nurse realize will be provided when working for this type of agency?
 
  1. Providing ventilatory support
  2. Completing a health and wellness visit
  3. Instructing about care of a surgical wound
  4. Providing intravenous antibiotics once a day
  5. Teaching about medications for self-management of diabetes

[katkat_flores]

Answer to Question 1

Correct Answer: 3, 4

Rationale 1: There is no reason for intravenous fluids to not be paid.

Rationale 2: There is no reason for x-rays to not be paid.

Rationale 3: In efforts to decrease cost and encourage attention to preventable conditions, for discharges occurring after October 1, 2008, hospitals no longer receive additional payment for cases in which one of several identified preventable conditions was not present on admission. That is, the case would be paid as though the secondary diagnosis were not present. Examples of hospital-acquired conditions (HACs) are pressure ulcers and urinary tract infections following catheterization.

Rationale 4: In efforts to decrease cost and encourage attention to preventable conditions, for discharges occurring after October 1, 2008, hospitals no longer receive additional payment for cases in which one of several identified preventable conditions was not present on admission. That is, the case would be paid as though the secondary diagnosis were not present. Examples of hospital-acquired conditions (HACs) are pressure ulcers and urinary tract infections following catheterization.

Rationale 5: There is no reason for physical therapy treatments to not be paid.

Answer to Question 2

Correct Answer: 3, 4, 5

Rationale 1: Ventilatory support would be considered a critical illness and most likely not provided through home care.

Rationale 2: A health and wellness visit can be conducted in a community clinic or health care provider's office. Home care would not be needed.

Rationale 3: Home health care nurses and other staff offer education to clients and families and also provide comprehensive care to clients who are acutely, chronically, or terminally ill. This would include teaching about surgical wound care.

Rationale 4: Home health care nurses and other staff offer education to clients and families and also provide comprehensive care to clients who are acutely, chronically, or terminally ill. This would include providing intravenous antibiotics daily.

Rationale 5: Home health care nurses and other staff offer education to clients and families and also provide comprehensive care to clients who are acutely, chronically, or terminally ill. This would include teaching about self-management of a disease process.

[Sportsfan2111]

Thanks

[katkat_flores]

Welcome