The nurse assessing a client realizes that which of the following findings could be causing or contributing to the client's complaint of numbness and tingling of the feet and hands?
1. Alcohol intake one six-pack of beer per day
2. Employed as a computer operator
3. Works on the weekends as an automobile mechanic
1. Plays tennis every Saturday
1. Alcohol intake one six-pack of beer per day
Rationale:
The client has a daily alcohol intake of one six-pack of beer per day. This intake could interfere with his nutritional status leading to a thiamine (B1) deficiency. This deficiency is associated with chronic alcohol intake and is characterized by progressive cognitive deterioration, confabulation, myopathy, and peripheral neuropathy. Alcoholic neuropathy is damage to the nerves that results from long-term excessive drinking of alcohol. Employment as a computer operator might cause some localized nerve compression in the wrists but would not explain the numbness and tingling of the feet. Working as an automobile mechanic and playing tennis would not cause peripheral neuropathy.
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