You are a Family Nurse Practitioner performing a preoperative physical examination
The patient is a diabetic and you note a decrease in deep tendon reflexes in the right leg that make you suspect diabetic neuropathy. The patient has no history of diabetic neuropathies. What other indication of diabetic neuropathy might the Nurse Practitioner expect to find if the patient does have a diabetic neuropathy?
A) Decreased sensation of dullness
B) Lack of sensation of sharpness
C) Increased sensation of pain
D) Decreased vibratory sensation
Ans: D
Feedback: On physical examination, a decrease in deep tendon reflexes and vibratory sensation is found. For patients who have few or no symptoms of neuropathy, these physical findings may be the only indication of neuropathic changes. Options A, B, and C are incorrect. Patients with diabetic neuropathy do not have a sensation of pain or sharpness, and if they feel at all, everything feels dull.
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