An 86-year-old female is brought to the emergency department by her daughter.

AHIMA CDIP Question Answer

An 86-year-old female is brought to the emergency department by her daughter. The patient complains of feeling tired, weak and excessive sleeping. The patient's

daughter comments that patient's mental condition has not been the same. Lab results are unremarkable except for a sodium level of 119, a BUN of 22, and a creatinine

of 1.35. The patient receives normal saline IV infusing at 100 cc/hr. The admitting diagnosis is weakness, altered mental status and dehydration. Which of the following

queries is presented in an ethical manner thus avoiding potential fraud and/or compliance issues?

Patient's sodium is 119 and she is on NS IV at 100 cc/hr, is this clinically significant? If so, please document a corresponding diagnosis related to this lab result.

Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr. Is the altered mental status related to the sodium of 119?

Patient's sodium is 119 and she is on NS IV at 100 cc/hr, does patient have hyponatremia?

Patient is feeling tired, weak, sleeping a lot and has altered mental status. Sodium is 119 and she is on NS IV at 100 cc/hr, please clarify the clinical significance of the lab result.

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Update on: Jul 20, 2025
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An 86-year-old female is brought to the emergency department by her daughter.

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