Author Question: A 58-year-old patient who has been living with diabetes since age 14 states he has pain in his feet ... (Read 42 times)

Davideckstein7 · **on:** Jul 23, 2018

A 58-year-old patient who has been living with diabetes since age 14 states he has pain in his feet and hands. What is this pain most likely a result of?

A) A diabetes-related infectious process
B) Peripheral neuropathy
C) An autoimmune disorder
D) Hypertension resulting from diabetes

Question 2

A 33-year-old female patient with a recent history of visual disturbances and dysphagia has just been diagnosed with myasthenia gravis.

The nurse should recognize that this patient's health problem is ultimately attributable to what pathophysiological process? A) Idiopathic overproduction of anticholinesterase
B) Autoimmune destruction of acetylcholine receptors
C) Demyelination of parasympathetic nerve pathways
D) Deficient synthesis of dopamine by the substantia nigra

morganmarie791 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Pain in the feet and hands is related to changes in small blood vessels resulting in neuropathy. The long-term effect of diabetes can result in an infectious process, but the pain described is not indicative of an infection. Latent autoimmune diabetes of the adult has an onset in adulthood and thus is not a long-term disorder. Hypertension is a long-term chronic effect of diabetes but is not what has been described with pain in the feet and hands.

Answer to Question 2

B
Feedback:
Myasthenia gravis occurs when antibodies produced by the body's own immune system block, alter, or destroy the receptors for acetylcholine at the neuromuscular junction, which prevents muscle contraction from occurring. The disease does not involve dopamine deficits, demyelination, or excess anticholinesterase.