Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?

Review the following query to determine if it is compliant:

Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?

Dehydration

Hyponatremia

Hypernatremia

Chronic kidney disease (indicate stage)

Other (please specify)
A . Yes, query is compliant as it offers the minimum number of multiple-choice answers ..
B . No, query is noncompliant as it does not provide the option of "unable to determine".
C . No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.
D . Yes, query is compliant as it provides clinical indicators and several options for response.

View Answer

Answer: C

Explanation:

A query is noncompliant if it includes options that are not supported by the clinical indicators or the patient’s condition. In this case, hypernatremia is a condition of high sodium level, not low sodium level, and it is not consistent with the treatment of 0.9% saline IV. Therefore, it is a clinically irrelevant option that may confuse or mislead the provider. A compliant query should only include options that are reasonable and plausible based on the available documentation and evidence. (CDIP Exam Preparation Guide)

References:

CDIP Exam Content Outline1

CDIP Exam Preparation Guide2

AHIMA Practice Brief: Guidelines for Achieving a Compliant Query Practice3