You are caring for a patient with diabetes who complains of aching in the legs.Using a wisp of cotton as a stimulus to assess the patient for light touch, you should start with the
a. abdomen, followed by the proximal areas of the extremities, moving distally.
b. hands, followed by the feet, then arms and legs.
c. distal areas of the limbs and then move proximally.
d. right arm, followed by the right leg, left arm, and left leg.
C
Use a wisp of cotton and apply the stimulus with very light strokes. If the skin is calloused, or for thicker skin on the hands and soles, the stimulus may need to be intensified, although care must be taken not to stimulate subcutaneous tissues. Begin with distal areas of the patient's limbs and move proximally. Test the hand, lower arm, abdomen, foot, and leg. Randomly alter rate, rhythm, and site of stimulation to prevent prediction of the next touch.
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