Which manifestation would the nurse expect to find in a patient with diabetic neuropathy?
A) Pain and paresthesia starting in both feet and progressing up the leg
B) Pain and paresthesia in one foot that eventually progresses up the leg
C) A dull cramping pain in both calves
D) Leg pain that is more severe in the morning
A) Pain and paresthesia starting in both feet and progressing up the leg
Explanation: A) Pain and paresthesia are usually symmetric and start in the feet with gradual progression up the legs, followed by involvement of the fingers, hands, and arms. It is characterized by sharp, burning, aching, and tingling pain; cold sensations; numbness; and allodynia. The pain of diabetic neuropathy is more severe at night.
B) Pain and paresthesia are usually symmetric and start in the feet with gradual progression up the legs, followed by involvement of the fingers, hands, and arms. It is characterized by sharp, burning, aching, and tingling pain; cold sensations; numbness; and allodynia. The pain of diabetic neuropathy is more severe at night.
C) Pain and paresthesia are usually symmetric and start in the feet with gradual progression up the legs, followed by involvement of the fingers, hands, and arms. It is characterized by sharp, burning, aching, and tingling pain; cold sensations; numbness; and allodynia. The pain of diabetic neuropathy is more severe at night.
D) Pain and paresthesia are usually symmetric and start in the feet with gradual progression up the legs, followed by involvement of the fingers, hands, and arms. It is characterized by sharp, burning, aching, and tingling pain; cold sensations; numbness; and allodynia. The pain of diabetic neuropathy is more severe at night.
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