A nurse is responsible for six patients.
Which of the following patients are at risk for developing peripheral neuropathy (PN)? (Select all that apply.)
The patient admitted with diabetic ketoacidosis (DKA)
The patient admitted with sleep apnea
The patient admitted with a hypertensive crisis
The patient admitted for an exacerbation of Systemic Lupus Erythematosus (SLE)
The patient admitted with untreated tuberculosis
The patient admitted with cirrhosis secondary to chronic alcohol use
Correct Answer : A,D,F
Choice A rationale
Patients with poorly controlled diabetes, such as those experiencing diabetic ketoacidosis (DKA), are at an increased risk of developing peripheral neuropathy. High blood sugar levels can damage peripheral nerves over time.
Choice B rationale
Sleep apnea is not typically associated with an increased risk of developing peripheral neuropathy.
Choice C rationale
While hypertension can lead to a variety of health complications, it is not typically associated with an increased risk of developing peripheral neuropathy.
Choice D rationale
Systemic Lupus Erythematosus (SLE) is an autoimmune disease that can affect the nervous system, including the peripheral nerves, leading to peripheral neuropathy.
Choice E rationale
Untreated tuberculosis is not typically associated with an increased risk of developing peripheral neuropathy.
Choice F rationale
Chronic alcohol use can lead to nutritional deficiencies, particularly of the B vitamins, which are essential for nerve health. This can result in peripheral neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A patient reporting a burning sensation is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice B rationale
A patient grimacing when they move is an objective sign of pain. It is observable and does not rely on the patient’s verbal report.
Choice C rationale
A patient rating their pain as an 8 on a scale of 0 to 10 is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice D rationale
A patient stating the pain is located in their abdomen is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Correct Answer is A
Explanation
Choice A rationale: Occupational exposure to pesticides, heavy metals, and industrial toxins is a known environmental risk factor for Parkinson’s disease. Work history helps identify neurotoxic exposure linked to disease onset.
Choice B rationale: Family history may suggest genetic predisposition, but idiopathic Parkinson’s is more often linked to environmental factors. Genetics play a role, but exposure history is more actionable during assessment.
Choice C rationale: Coffee intake has been inversely associated with Parkinson’s risk, but it’s not a diagnostic or causative factor. This question does not guide clinical assessment or identify potential exposures.
Choice D rationale: Timing of last physical may inform general health status but does not address etiology or risk factors specific to Parkinson’s disease. It lacks relevance to environmental or occupational exposure.
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