A client with uncontrolled diabetes mellitus reports experiencing numbness and tingling in their feet that disrupts their sleep.The nurse explains this as a nerve disorder known as peripheral neuropathy.
Which statement by the client indicates they understand the cause of this condition?
“The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord.”.
“The nerve damage may occur for unknown reasons in any individual.”.
“The older I get, the less blood flows to my feet.”.
“The elevated blood sugar from my diabetes can cause underlying nerve damage.”.
The Correct Answer is D
Choice A rationale
This statement is incorrect. Nerves do not “go to sleep.”. Peripheral neuropathy in diabetes is caused by damage to the nerves as a result of high blood sugar levels over time.
Choice B rationale
This statement is incorrect. While nerve damage can occur due to various reasons, in the context of diabetes, it is primarily due to prolonged high blood sugar levels.
Choice C rationale
This statement is incorrect. Age and blood flow to the feet are not the primary causes of peripheral neuropathy in diabetes. The primary cause is prolonged high blood sugar levels.
Choice D rationale
This statement is correct. Prolonged high blood sugar levels in diabetes can cause damage to the peripheral nerves, leading to peripheral neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale
The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.
Correct Answer is B
Explanation
Choice A rationale
Cancer pain is usually associated with the growth of a tumor or the side effects of cancer treatment. Phantom limb pain is not related to cancer.
Choice B rationale
Phantom limb pain is considered a type of neuropathic pain. This is because it is associated with nerve damage or malfunctioning nerves in the area where the limb was amputated.
Choice C rationale
Chronic pain is a broad term that refers to any pain that lasts for more than 12 weeks. While phantom limb pain can become chronic, this term does not specifically describe the type of pain experienced in phantom limb syndrome.
Choice D rationale
Acute pain is a type of pain that comes on suddenly and has a specific cause, usually related to tissue damage. Phantom limb pain is not considered acute pain because it is not related to new tissue damage.
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