The patient has a pressure ulcer. The

The patient has a pressure ulcer. The attending physician documents stage 2 in the H&P and later documents the same ulcer as stage 3. The Wound Care Nurse documents the stage as unstageable, as the ulcer is covered with eschar. STEP 1: Would you query? STEP 2: How would you write the query? The patient is admitted through the ER and has a history of COPD and on 2L nasal cannula of oxygen. The ED physician documents that the patient has an exacerbation of COPD. The patient’s blood gases are normal and there is no documentation of the use of accessory muscles while breathing. The attending physician has documented acute respiratory failure in the discharge summary. STEP 1: Would you query? STEP 2: How would you write the query? The patient is admitted for atrial fibrillation. The type of atrial fibrillation is not specified by attending or consulting physicians. The patient is treated with anti-arrhythmic medication and discharged. STEP 1: Would you query? STEP 2: How would you write the query? SCIENCE HEALTH SCIENCE NURSING HI 2410

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