Certified Documentation Improvement Practitioner (CDIP) — Question 4

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) _______

Answer options

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

Correct answer: A

Explanation

The correct answer is A because the query includes relevant clinical indicators and a variety of response choices that allow for accurate condition identification. Options B, C, and D are incorrect as they either misinterpret compliance requirements or overlook the relevance of the provided options.