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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Parkinson’s disease is a neurodegenerative disorder that affects movement, but it is not a known risk factor for subarachnoid hemorrhage (SAH)10111213.
Choice B rationale
Alzheimer’s disease is a type of dementia that affects memory, thinking, and behavior, but it is not a known risk factor for SAH10111213.
Choice C rationale
Being male is not a specific risk factor for SAH. Both men and women can be affected by this condition.
Choice D rationale
Marfan’s syndrome is a genetic disorder that affects the body’s connective tissue. People with Marfan’s syndrome have a higher risk of developing aneurysms, including those in the brain, which can lead to SAH10111213. Cerebral edemaCerebral edema Explore
Correct Answer is A
Explanation
Choice A rationale
Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help confirm a diagnosis of a migraine.
Choice B rationale
Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the question “Are the lights in here bothering you?” is less specific to migraines as it could be indicative of several other conditions as well.
Choice C rationale
While confusion or clouded thinking can occur with migraines, it is not as common as other symptoms such as nausea, vomiting, and sensitivity to light.
Choice D rationale
Unusual smells, known as olfactory hallucinations, are not typically associated with migraines. They are more commonly associated with conditions such as epilepsy.
Choice E rationale
Weakness before the headache started or currently feeling weak now is not a typical symptom of migraines. It could be indicative of a more serious condition, such as a stroke.
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