A patient with type 1 diabetes mellitus has difficulty swallowing and takes milk of magnesium every day for nausea and constipation. What should the nurse suspect is occurring with this patient?
1. age-related changes
2. visceral neuropathy
3. peripheral neuropathy
4. reaction to insulin injections
Correct Answer: 2
The visceral neuropathies cause various manifestations, depending on the area of the autonomic nervous system involved. Gastrointestinal dysfunction caused by autonomic neuropathy causes changes in upper gastrointestinal motility, leading to dysphagia and nausea. Constipation is one of the most common gastrointestinal manifestations associated with diabetes, possibly a result of hypo-motility of the bowel. Difficulty swallowing and nausea are not specifically attributed to aging. Peripheral neuropathies affect the sensory and motor function of the extremities. Swallowing, nausea, and constipation are not adverse effects of insulin.
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