FLAG A nurse is caring for a client with complications

A 70-year-old male was admitted to the medical-surgical floor following exacerbation of right-sided heart failure secondary to COPD. The reviewer used the Heart Failure subset to conduct reviews for Episode Days 1 and 2 and criteria were met. Today is Episode Day 3 and the patient continues to demonstrate symptoms consistent with heart failure. In addition, he has developed a temperature of 102.3, a productive cough with yellow-green sputum, and occasional confusion (new onset). Chest x-ray confirms pneumonia. The doctor has diagnosed pneumonia and ordered nebulizer treatments q4h and IV Levaquin. The reviewer documents criteria was met for continued stay at the current level of care using the Heart Failure subset. Is the reviewer applying the criteria correctly? O No. The review should be conducted using the Infection. Pneumonia subset O No. The review should be conducted using the Extended Stay subset Yes. Pneumonia is addressed within the Heart Failure subset as a complication

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