Question

Patient Scenario #2: Progress note of 04/12/2030, 08:10: Pulmonary note: Patient doing well on trach collar. Afebrile. Chest clear. No edema. Chronic respiratory failure. Change trach to #6 and start capping speech to evaluate for swallowing Which of the following progress notes is accurately written according to Patient Scenario #2 if the patient's status is completely the same as it was on 04/12/2030, except the patient now has a fever of 101.4°F Select one: O a._ c. Progress Note of 04/13/2030, 11:10: Pulmonary note: Patient doing well on trach collar. Temp of 101.4°F. Chest clear. No edema. Chronic respiratory failure. Change trach to #6 and start capping speech to evaluate for swallowing. b. b. Progress Note of 04/13/2030, 14:10: Pulmonary note: Patient doing well on trach collar. Afebrile. Chest clear. No edema. Chronic respiratory failure. Change trach to #6 and start capping speech to evaluate for swallowing. O c. a. Progress Note of 04/13/2030, 14:15: Pulmonary note: Patient doing well on trach collar. Fever of 101.4°F. Chest rales heard. No edema. Chronic respiratory failure. Change trach to #6 and start capping speech to evaluate for swallowing.

Answer 1

The question says that the patient condition is the same as it was on 04/12/2030. But the patient have a fever of 101.4⁰F. So this means that the patient is no more afebrile.

So the only thing that needs to be changed in the patient note for the next day is his body temperature status. This should be written as temp of 101.4⁰F.

In the choices given option (b) shows patient temperature as afebrile which is incorrect because patient had temperature of 101.4 F. So this option is wrong.

In option (c) the temperature is noted correctly but it says chest rales heard, This noting is incorrect as no chest rakes were heard on 04/12/2030 and the question says that the patient condition is same except patient temperature status. So this option is wrong .

Option (a) notes the patient condition correctly. It notes the temp as 101.4 F and keeps the other notings same. So this option is the correct answer.