What factor increases a person's risk for developing peripheral neuropathy?
High water intake
Low blood sugar
Eating spicy food
Atherosclerosis
The Correct Answer is D
A. High water intake: Adequate hydration is generally protective for overall health and does not directly contribute to peripheral nerve damage. Excessive water intake is rarely associated with neuropathy unless it leads to electrolyte imbalances, which is uncommon.
B. Low blood sugar: Hypoglycemia can cause temporary neurological symptoms such as confusion, tremors, or dizziness, but it does not typically result in chronic peripheral nerve damage. Peripheral neuropathy is more closely associated with prolonged metabolic disturbances rather than acute low glucose episodes.
C. Eating spicy food: Consuming spicy foods may cause transient sensations such as burning in the mouth or gastrointestinal discomfort, but it does not damage peripheral nerves or contribute to neuropathy. Dietary spices are not risk factors for peripheral nerve disease.
D. Atherosclerosis: Atherosclerosis impairs blood flow to peripheral nerves, leading to ischemia and increased risk of nerve injury. Chronic reduced perfusion can cause sensory deficits, pain, and tingling characteristic of peripheral neuropathy, especially in individuals with coexisting conditions like diabetes or hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. pH 7.48, PaCO2 37 mm Hg, HCO3 30 mEq/L:This ABG shows alkalemia with normal PaCO2 and slightly elevated bicarbonate, consistent with metabolic alkalosis. It does not indicate respiratory acidosis because PaCO2 is within normal limits.
B. pH 7.28, PaCO2 31 mm Hg, HCO3 20 mEq/L:This reflects acidemia with low PaCO2 and low HCO3, suggestive of metabolic acidosis with respiratory compensation. The low CO2 indicates hyperventilation to compensate, not primary respiratory acidosis.
C. pH 7.39, PaCO2 38 mm Hg, HCO3 23 mEq/L:These values are within normal physiologic ranges, representing a normal ABG with no evidence of acid-base disturbance.
D. pH 7.30, PaCO2 50 mm Hg, HCO3 24 mEq/L:This ABG indicates acidemia (low pH) with elevated PaCO2 and normal bicarbonate, which is consistent with respiratory acidosis. The elevated CO2 reflects hypoventilation or impaired gas exchange leading to CO2 retention and decreased pH.
Correct Answer is B
Explanation
A. Antidiuretic hormone:Antidiuretic hormone (ADH) promotes water reabsorption in the kidneys by increasing the permeability of the distal tubules and collecting ducts. It conserves water and increases blood volume, rather than promoting excretion of sodium and water.
B. Atrial natriuretic peptide:Atrial natriuretic peptide (ANP) is released by the atria in response to increased blood volume and pressure. It promotes sodium and water excretion by the kidneys, leading to decreased blood volume and reduced blood pressure, thereby helping maintain fluid balance.
C. Aldosterone:Aldosterone, a mineralocorticoid from the adrenal cortex, promotes sodium reabsorption and potassium excretion in the kidneys. This action conserves sodium and water, increasing blood volume, rather than promoting their excretion.
D. Adrenalin:Adrenaline (epinephrine) is a catecholamine that primarily affects the cardiovascular system by increasing heart rate, contractility, and vasoconstriction. It does not directly regulate sodium or water excretion and does not play a primary role in fluid balance.
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