Which of the following artifacts may occur if a patient is talking during an EKG?
Alternating current
Interrupted baseline
Somatic tremor
Wandering baseline
The Correct Answer is C
A. Alternating current: Alternating current interference is due to electrical equipment, not patient movement or talking.
B. Interrupted baseline: An interrupted baseline occurs when there is a break in the electrical connection, often due to a loose lead, not because of patient talking.
C. Somatic tremor: Somatic tremor can occur due to muscle movement, including that caused by talking. This can result in erratic, uneven spikes on the EKG tracing.
D. Wandering baseline: A wandering baseline is usually caused by improper electrode placement or poor skin contact, not talking. However, excessive movement, including deep breaths or large chest movements during talking, can contribute to a wandering baseline.
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Correct Answer is C
Explanation
A. Apply the patch with sterile gloves. Sterile gloves are not required when applying a transdermal patch; clean, non-sterile gloves are sufficient to avoid contamination.
B. Apply the new patch in the same location as the old one. Transdermal patches should be rotated to different sites to avoid skin irritation, so applying the new patch in the same location is not recommended.
C. Write the date and time on the patch with each application. Writing the date and time on the patch is essential for tracking when the patch was applied and when it needs to be changed, making this the correct action.
D. Reinforce damaged patches with adhesive tape. Damaged patches should not be reinforced with tape, as this could alter the drug's delivery. Instead, the patch should be replaced.
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 ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.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.