Medical coding requires all of the following except:
A) attention to detail.
B) certification.
C) knowledge of anatomy and physiology.
D) knowledge of clinical procedures.
B
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You suspect that a 6-year-old female patient with multiple bruises and a broken wrist was abused. The stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the stepmother's statements. How should you document this situation in the patient report?
A) Document any pertinent information that was said by the stepmother and child exactly in quotations. B) Document what was said as well as your opinion that the child was too afraid to tell the truth. C) Document only the actual exam findings. Do not document anything that was said. D) Document who you suspect caused the injuries in the narrative so law enforcement has a record of the incident.
A 56-year-old man is complaining of chest pain without respiratory distress. His vital signs show a blood pressure of 146/88, pulse 88, and pulse oximetry reading of 97percent. How should you treat this patient?
A) Administer oxygen via nonrebreather at 15 liters per minute. B) Provide oxygen via bag-valvemask at 15 liters per minute. C) Assure that his airway is secure and monitor his respiratory status. D) Assist the patient with his metered dose inhaler.