A nurse is performing a physical examination on a client who has radiculopathy due to cervical spine degeneration. Which of the following tests should the nurse use to assess the client's condition?

Choice A reason:

This is a correct answer. Inspecting the client's feet daily for any injuries or infections is an important intervention for a client who has peripheral neuropathy due to diabetes mellitus. Peripheral neuropathy is a condition that affects the nerves in the extremities, causing numbness, tingling, pain, or weakness. Diabetes mellitus is a common cause of peripheral neuropathy, as high blood sugar levels can damage the nerves and blood vessels. The client may not feel any cuts, blisters, ulcers, or infections on their feet due to reduced sensation, which can lead to complications such as gangrene or amputation. Therefore, the nurse should inspect the client's feet daily and report any abnormalities to the provider.

Choice B reason:

This is an incorrect answer. Massaging the client's legs and feet with lotion to improve circulation is not an appropriate intervention for a client who has peripheral neuropathy due to diabetes mellitus. Massaging the client's legs and feet can cause further damage to the nerves or skin, especially if there are any injuries or infections present. Lotion can also increase the risk of infection by creating a moist environment for bacteria to grow. The nurse should avoid massaging the client's legs and feet and use other methods to improve circulation, such as elevating the legs, wearing compression stockings, or exercising regularly.

Choice C reason:

This is an incorrect answer. Encouraging the client to wear tight-fitting shoes and socks to prevent friction is not an appropriate intervention for a client who has peripheral neuropathy due to diabetes mellitus. Tight-fitting shoes and socks can impair blood flow and oxygen delivery to the feet, which can worsen peripheral neuropathy and increase the risk of tissue damage or necrosis. Tight-fitting shoes and socks can also cause pressure ulcers, blisters, or corns on the feet, which can become infected or difficult to heal. The nurse should encourage the client to wear loose-fitting shoes and socks that are comfortable and breathable.

Choice D reason:

This is an incorrect answer. Teaching the client to soak their feet in warm water for 15 minutes twice a day is not an appropriate intervention for a client who has peripheral neuropathy due to diabetes mellitus. Soaking the feet in warm water can cause burns or scalds on the skin, as the client may not be able to sense the temperature of the water due to reduced sensation. Soaking the feet in warm water can also increase the risk of infection by softening the skin and making it more prone to injury or breakdown. The nurse should teach the client to wash their feet with mild soap and water daily, dry them thoroughly, and check the water temperature with their elbow or thermometer before using it.

Choice A reason:

This is an incorrect answer. The client does not need further teaching if they say they will wear braces or splints to support their feet and ankles. Braces or splints are helpful devices for clients who have CMT, which is a hereditary disorder that affects the peripheral nerves and causes muscle weakness, atrophy, and deformity in the feet, legs, hands, and arms. Braces or splints can improve mobility, stability, and alignment of the affected limbs.

Choice B reason:

This is an incorrect answer. The client does not need further teaching if they say they will avoid strenuous exercise and heavy lifting. These activities can worsen the symptoms and progression of CMT, as they can cause fatigue, injury, or overuse of the weakened muscles and nerves. The client should engage in moderate exercise and physical therapy that are tailored to their abilities and needs.

Choice C reason:

This is a correct answer. The client needs further teaching if they say they will take vitamin B12 supplements to prevent nerve damage. Vitamin B12 deficiency can cause peripheral neuropathy, which is a condition that affects the peripheral nerves and causes numbness, tingling, pain, or weakness in the extremities. However, vitamin B12 supplements do not prevent or treat CMT, which is a genetic disorder that affects the structure and function of the peripheral nerves.

Choice D reason:

This is an incorrect answer. The client does not need further teaching if they say they will inspect their feet daily for any injuries or infections. This is an important self-care measure for clients who have CMT, as they may have reduced sensation, circulation, or healing in their feet due to nerve damage. The client should inspect their feet daily and report any abnormalities to their provider.