A client with a 20-year history of type 2 diabetes tells the nurse that at times her feet and hands are cold and numb. The nurse realizes the client is describing which of the following?
1. Low blood glucose level
2. High blood glucose level
3. Pancreatitis
4. Peripheral neuropathy
4. Peripheral neuropathy
Rationale:
Systemic diseases are often the cause of peripheral neuropathy. Damage from disease processes, such as metabolic and endocrine disorders, affects the body's ability to process waste products and utilize nutrients. At least half of all people with diabetes develop some type of neuropathy. The client's complaints of cold numb feet and hands cannot be directly linked to a low blood glucose level or a high blood glucose level. Pancreatitis is not directly linked to peripheral neuropathy.
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