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Author Question: Based on the following documentation in an acute care record, where would you expect this excerpt ... (Read 113 times)

drink

  • Hero Member
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  • Posts: 554
on: Jun 27, 2018
Based on the following documentation in an acute care record, where would you expect this
  excerpt to appear?
  Initially the patient was admitted to the medical unit to evaluate the x-ray findings and the rub.
  He was started on Levaquin 500 mg initially and then 250 mg daily. The patient was hydrated
  with IV fluids and remained afebrile. Serial cardiac enzymes were done. The rub, chest pain, and
  shortness of breath resolved. EKGs remained unchanged. Patient will be discharged and followed
  as an outpatient.
 A. discharge summary
  B. physical exam
  C. admission note
  D. clinical laboratory report

Question 2

Court decisions establish standard use legal decisions that serve as authoritative rules or patterns in future similar cases. The legal term for standard is __________.
 a. decision
  b. example
  c. precedent
  d. statute


af

  • Sr. Member
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  • Posts: 356
Reply #1 on: Jun 27, 2018
Answer to Question 1

A The excerpt clearly indicates an overall summary of the patient's course in the hospital, which
is a common element of the discharge summary.

Answer to Question 2

c


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