Medical Surgical Diabetes #3

Question

A client with diabetes informs the nurse of prickling, tingling, and burning sensations to lower extremities at night. The nurse expects to develop a plan of care with a focus on which medical condition?

Answers

  1. Albuminuria
    • Rationale:

      This answer is not correct because albuminuria is the release of albumin in the urine and is not associated in any way with prickling, tingling, and burning sensation to the peripheral extremities. Diabetic peripheral neuropathy is damage that occurs to nerves producing those symptoms. It is directly related to long-term, uncontrolled blood glucose levels.

  2. Peripheral neuropathy
    • Rationale:

      This answer is correct because diabetic peripheral neuropathy is a condition in diabetics that causes prickling, tingling, and burning sensations to peripheral extremities. Diabetic peripheral neuropathy is damage that occurs to nerves caused by long-term high blood sugar. Acute sensory and chronic sensorimotor neuropathies are the most common and prone to night time exacerbation. Peripheral neuropathy causes the client to be more susceptible to injury since feeling in the extremities (particularly the feet and lower legs) is diminished to completely numb. Clients can step on nails and never feel it or know it except there is blood coming from their feet. Unfortunately, this can lead to serious infection and amputation.

  3. Raynaud's disease
    • Rationale:

      This answer is not correct because although Raynaud’s disease can have similar symptoms it is not caused by diabetes. Diabetic peripheral neuropathy is a condition that causes prickling, tingling, and burning sensations to peripheral extremities and is directly associated with long-term, uncontrolled blood glucose levels.

  4. Hypernatremia
    • Rationale:

      This answer is not correct because hypernatremia is not associated with diabetes and has symptoms that include thirst, fatigue, and irritability. Diabetic peripheral neuropathy is a condition that causes prickling, tingling, and burning sensations to peripheral extremities and is directly associated with long-term, uncontrolled blood glucose levels.

Overview

Diabetic peripheral neuropathy is a condition in diabetics that causes prickling, tingling, and burning sensations to peripheral extremities. Diabetic peripheral neuropathy is damage that occurs to nerves caused by long-term high blood sugar.

Explanation

Learning Outcomes

Diabetic peripheral neuropathy is damage that occurs to nerves caused by long-term high blood sugar. Diabetic peripheral neuropathy is a condition in diabetics that causes prickling, tingling, and burning sensations to peripheral extremities. Acute sensory and chronic sensorimotor neuropathies are the most common and prone to night time exacerbation. Peripheral neuropathy causes the client to be more susceptible to injury since feeling in the extremities (particularly the feet and lower legs) is diminished to completely numb. Clients can step on nails and never feel it or know it except there is blood coming from their feet. Unfortunately, this can lead to serious infection and amputation.

Test Taking Tip

When a diabetic client has neuropathy, it makes them susceptible to many complications, including injury, infections, and amputations.

Video Rationale