Patients who have diabetes mellitus should have dilated eye exams at which of the following frequencies?
Biannually
Every 5 years
Annually
Every 10 years
The Correct Answer is C
A. Biannually: Biannual exams may not be frequent enough to monitor for diabetic retinopathy or other eye complications associated with diabetes. Annual exams are recommended.
B. Every 5 years: Waiting 5 years between exams is too long, as eye complications from diabetes can develop rapidly.
C. Annually: Annual dilated eye exams are recommended for patients with diabetes mellitus to monitor for diabetic retinopathy and other complications, allowing for early detection and treatment.
D. Every 10 years: A 10-year interval is far too long and could result in the progression of untreated eye disease, which could lead to blindness.
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Correct Answer is A
Explanation
A. Comprehensive care: Comprehensive care refers to the delivery of a wide range of services, including preventative and wellness care, addressing all aspects of a patient’s health.
B. Coordinated care: Coordinated care involves organizing patient care activities and sharing information among all participants concerned with a patient’s care but does not specifically refer to preventative and wellness care.
C. Accessible services: Accessible services ensure that patients can obtain care when needed but do not specifically address preventative and wellness care.
D. Quality and safety: Quality and safety refer to the overall standards and safety measures in care delivery rather than specifically addressing preventative and wellness care.
Correct Answer is C
Explanation
A. 99.6°F: This temperature is higher than expected for an axillary reading. Axillary temperatures are generally lower than oral temperatures.
B. 98.6°F: This reading matches the oral temperature. However, axillary temperatures are usually lower by approximately 1°F compared to oral temperatures.
C. 97.6°F: This is the correct answer because axillary temperatures tend to be about 1°F lower than oral temperatures.
D. 96.6°F: This reading is lower than typically expected for an axillary temperature and would indicate hypothermia, which is not expected if the oral temperature was normal.