Which finding should the nurse expect when assessing a patient with symmetrical distal polyneuropathy due to diabetes?
A) Distal sensory loss in one limb
B) Distal pain in lower legs that worsens at night
C) Sharp, shooting pain in the distal legs
D) Leg pain that progresses from proximal to distal
B) Distal pain in lower legs that worsens at night
Explanation: A) Symmetric distal polyneuropathy usually appears first in the distal portions of the extremities, moving proximally in a "stocking-glove" distribution, encompassing both sensory and motor nerve damage and affecting both limbs. Clinical symptoms associated with sensory nerve damage may include numbness, pain, burning, tingling, and eventual partial or total loss of sensation. The pain associated with symmetric distal polyneuropathy is first felt distally, in the lower legs, and usually worsens at night and is usually described as an aching or burning.
B) Symmetric distal polyneuropathy usually appears first in the distal portions of the extremities, moving proximally in a "stocking-glove" distribution, encompassing both sensory and motor nerve damage and affecting both limbs. Clinical symptoms associated with sensory nerve damage may include numbness, pain, burning, tingling, and eventual partial or total loss of sensation. The pain associated with symmetric distal polyneuropathy is first felt distally, in the lower legs, and usually worsens at night and is usually described as an aching or burning.
C) Symmetric distal polyneuropathy usually appears first in the distal portions of the extremities, moving proximally in a "stocking-glove" distribution, encompassing both sensory and motor nerve damage and affecting both limbs. Clinical symptoms associated with sensory nerve damage may include numbness, pain, burning, tingling, and eventual partial or total loss of sensation. The pain associated with symmetric distal polyneuropathy is first felt distally, in the lower legs, and usually worsens at night and is usually described as an aching or burning.
D) Symmetric distal polyneuropathy usually appears first in the distal portions of the extremities, moving proximally in a "stocking-glove" distribution, encompassing both sensory and motor nerve damage and affecting both limbs. Clinical symptoms associated with sensory nerve damage may include numbness, pain, burning, tingling, and eventual partial or total loss of sensation. The pain associated with symmetric distal polyneuropathy is first felt distally, in the lower legs, and usually worsens at night and is usually described as an aching or burning.
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