A nurse is assessing a client who has peripheral neuropathy due to diabetes mellitus. Which of the following findings should the nurse expect?

Decreased sensation in the feet and lower legs.

Increased muscle tone and reflexes in the upper limbs.

Decreased pain perception in the hands and fingers.

Increased sweating and flushing in the face and neck.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This is the correct answer because peripheral neuropathy affects the sensory nerves, which can cause loss of sensation, especially in the distal parts of the body. Diabetes mellitus is a common cause of peripheral neuropathy.

Choice B reason:

This is incorrect because peripheral neuropathy does not affect the motor nerves, which control muscle tone and reflexes. Increased muscle tone and reflexes in the upper limbs are more likely to indicate a central nervous system disorder, such as a stroke or spinal cord injury.

Choice C reason:

This is incorrect because peripheral neuropathy can cause decreased pain perception in any part of the body, not just the hands and fingers. However, this is not a specific finding for peripheral neuropathy, as other conditions can also impair pain perception, such as spinal cord injury or opioid use.

Choice D reason:

This is incorrect because peripheral neuropathy does not affect the autonomic nerves, which control sweating and flushing. Increased sweating and flushing in the face and neck are more likely to indicate a sympathetic nervous system disorder, such as pheochromocytoma or carcinoid syndrome.

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Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because epidural steroid injections are used to treat radiculopathy by reducing inflammation and edema of the nerve root, which can relieve radicular pain and improve neurological function.

Choice B reason:

This is incorrect because local anesthetic alone can provide temporary pain relief by blocking nerve conduction, but it does not address the underlying cause of radiculopathy, which is nerve root compression.

Choice C reason:

This is incorrect because steroid and local anesthetic do not have any effect on the size or shape of the disc or bone spur that is compressing the nerve root. They only reduce inflammation and pain.

Choice D reason:

This is incorrect because although epidural injections may have fewer systemic side effects than oral or intravenous medications, they still have some risks and complications, such as infection, bleeding, nerve damage, or spinal headache.

A. Expressive aphasia B. Receptive aphasia C. Global aphasia D. Anomic aphasia

Correct Answer is B

Explanation

Choice A reason:

This is incorrect because expressive aphasia is a type of aphasia that affects the ability to produce speech, but not to comprehend it. A client with expressive aphasia would be able to respond verbally, but with difficulty or errors.

Choice B reason:

This is the correct answer because receptive aphasia is a type of aphasia that affects the ability to comprehend speech, but not to produce it. A client with receptive aphasia would not be able to respond verbally, as they do not understand what is being asked.

Choice C reason:

This is incorrect because global aphasia is a type of aphasia that affects both the ability to produce and comprehend speech. A client with global aphasia would not be able to respond verbally or nonverbally, as they have no language function.

Choice D reason:

This is incorrect because anomic aphasia is a type of aphasia that affects the ability to recall specific words or names, but not the general ability to produce or comprehend speech. A client with anomic aphasia would be able to respond verbally, but with pauses or substitutions.

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A nurse is assessing a client who has peripheral neuropathy due to diabetes mellitus. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is B

Explanation

A nurse is assessing a client who has peripheral neuropathy due to diabetes mellitus. Which of the following findings should the nurse expect?

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