Author Question: The nurse assessing a client realizes that which of the following findings could be causing or ... (Read 34 times)

evelyn o bentley · **on:** Jul 22, 2018

The nurse assessing a client realizes that which of the following findings could be causing or contributing to the client's complaint of numbness and tingling of the feet and hands?

1. Alcohol intake one six-pack of beer per day
2. Employed as a computer operator
3. Works on the weekends as an automobile mechanic
1. Plays tennis every Saturday

Question 2

A client with a 20-year history of type 2 diabetes tells the nurse that at times her feet and hands are cold and numb. The nurse realizes the client is describing which of the following?

1. Low blood glucose level
2. High blood glucose level
3. Pancreatitis
4. Peripheral neuropathy

Moriaki · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Alcohol intake one six-pack of beer per day

Rationale:
The client has a daily alcohol intake of one six-pack of beer per day. This intake could interfere with his nutritional status leading to a thiamine (B1) deficiency. This deficiency is associated with chronic alcohol intake and is characterized by progressive cognitive deterioration, confabulation, myopathy, and peripheral neuropathy. Alcoholic neuropathy is damage to the nerves that results from long-term excessive drinking of alcohol. Employment as a computer operator might cause some localized nerve compression in the wrists but would not explain the numbness and tingling of the feet. Working as an automobile mechanic and playing tennis would not cause peripheral neuropathy.

Answer to Question 2

4. Peripheral neuropathy

Rationale:
Systemic diseases are often the cause of peripheral neuropathy. Damage from disease processes, such as metabolic and endocrine disorders, affects the body's ability to process waste products and utilize nutrients. At least half of all people with diabetes develop some type of neuropathy. The client's complaints of cold numb feet and hands cannot be directly linked to a low blood glucose level or a high blood glucose level. Pancreatitis is not directly linked to peripheral neuropathy.