NR570 121 CORRECTLY ANSWERED
QUESTIONS LATEST UPDATE 2024
Immunization guidelines
Human Papilloma Virus (HPV): 3 dose (11-26)
Meningococcal= (11-18 )-2 dose series
Tetanus-diphtheria-pertussis (Tdap)=)11-12) q 10years
Pneumococcal= >65
Influenza= annually
Varicella (VAR)= lack of immunity
Zoster= >50
differential diagnoses of obesity
hypothyroidism, cushing's syndrome, hypothalamic injury
mesomorphism (bodybuilders, wrestlers), genetic diseases: Prader Willi or Pickwickian
syndrome
Role of hospitalist and NP in inpatient care
provides and a continuum of care manage the patient's care with specialists to manage
the patient's chronic comorbidities. coordinates patient until it reaches home or
subacute facility. mitigate the risks involved in care as well as complete the paperwork
so payment is rendered.
Medical coding
the use of codes to communicate with payers about procedures that were performed
and why they occurred.
Medical billing
submitting claims made to a payer to receive payment for medical services rendered by
providers and the facility
acute care inpatients payments
through the inpatient prospective payment system (IPPS) under Medicare Part A,
Hospital Insurance
ICD-10 codes
, alphanumeric codes that correspond to a specific diagnosis
E/M codes (evaluation and management)
based on the complexity of the visit,: history, physical exam, and medical decision-
making
Appropriate method for presenting a patient during rounding
1organizing the collected data into an accurate and concise summary.
2communicating clinical reasoning skills to preceptors
3demonstrating the ability to prioritize patient needs and SNAPPS
SNAPPS
· Narrow the differential= narrow the differential diagnosis to two or three relevant
possibilities
· Analyze the differential= analyze the differential diagnosis by comparing and
contrasting the possibilities
· Probe the preceptor= probe the preceptor by asking questions about uncertainties,
difficulties, or alternative approaches.
· Plan management= plan management for the patient's medical and other issues.
· Select a case related issue=select a case related issue for self-directed learning
Use and contents of different notes used during hospital stay
Procedure Note, Daily Progress Note, Admission Note, Pre-operative report, Operative
report, Discharge summary
Procedure Note.
A modified report detailing a surgical or invasive procedure. Often used in the hospital
for common bedside procedures including chest tube insertion, central line placement,
bronchoscopy, etc.
Daily Progress Note
A progress note by the primary service responsible for the patient's care every day.
Most often written in the SOAP note formation.
Admission Note
A note about the patient's status, the history and physical examination, reasons for
admission, and the initial instructions for care.
Pre-operative report
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