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 C
Explanation
Choice A rationale
Nicardipine is a calcium channel blocker used to treat high blood pressure. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure.
Choice B rationale
Dopamine is a type of medication used to treat certain conditions such as low blood pressure, heart failure, and Parkinson’s disease. It is not typically used to decrease intracranial pressure in the context of a subarachnoid hemorrhage.
Choice C rationale
Mannitol is a type of medication that is used to decrease intracranial pressure. It works by drawing fluid out of the brain to help reduce swelling.
Choice D rationale
Phenytoin is a medication used to control seizures. While it can be used in the management of subarachnoid hemorrhage, it is not primarily used to decrease intracranial pressure. Migraine Explore
Correct Answer is D
Explanation
Choice A rationale
Vision loss and depression are not typically symptoms of a mild traumatic brain injury (TBI). Vision loss could be a symptom of a more severe TBI or other neurological conditions.
Depression, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a common psychological reaction to the changes and challenges that a person may face following the injury.
Choice B rationale
Seizures and weakness in the extremities can be symptoms of a TBI, but they are more commonly associated with moderate to severe TBIs. Mild TBIs do not typically cause seizures or weakness in the extremities.
Choice C rationale
Persistent headache can be a symptom of a mild TBI. However, aggressive behavior, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a possible psychological reaction to the changes and challenges that a person may face following the injury.
Choice D rationale
Headache and confusion are common symptoms of a mild TBI. After a mild TBI, individuals may experience a headache or a feeling of pressure in the head. They may also experience confusion or feel as if in a fog.
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