A medical assistant is preparing to perform a bilateral ear irrigation on a patient. The assistant should inform the patient that they might experience which of th following discomforts during irrigation?
Vertigo
Urticaria
Edema
Rhinitis
The Correct Answer is A
A. Vertigo: Ear irrigation can sometimes lead to vertigo or dizziness because the procedure may disturb the balance mechanisms in the inner ear.
B. Urticaria: Urticaria (hives) is an allergic reaction and is not a typical response to ear irrigation.
C. Edema: Edema is not a common reaction to ear irrigation. The procedure is generally localized to the ear canal and should not cause swelling.
D. Rhinitis: Rhinitis involves inflammation of the nasal mucous membranes and is unrelated to ear irrigation.
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Correct Answer is A
Explanation
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.
Correct Answer is A
Explanation
A. Choose procedure codes based on the encounter form. The encounter form, also known as a superbill, lists the procedures and services provided during the visit. The correct procedure codes (CPT codes) should be selected from this form to ensure accurate billing.
B. Upcode for greater reimbursement. Upcoding, or selecting a higher-level code than justified, is illegal and unethical as it constitutes fraud. This should never be done.
C. Refer to ICD-9 for diagnostic codes. ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.
D. Enter all data using lowercase letters. Data entry in all lowercase letters is not a standard practice in medical billing and would not affect the accuracy of the codes. Proper case usage is typically recommended for clarity.