When the nurse inspects the feet of a diabetic, a tack is found sticking in the sole of one foot. The client denies feeling anything unusual in the foot. Which is the best rationale for this finding?

Question

A) In diabetes, the autonomic nerves are affected.
B) Motor neuropathy causes muscles to weaken and atrophy.
C) High blood sugar decreases blood circulation to nerves.
D) Nephropathy is a common complication of diabetes mellitus.

Answer 1

C
Feedback:
Diabetic neuropathy results from poor glucose control and decreased blood circulation to nerve tissues. The lack of sensitivity increases the potential for soft tissue injury without awareness. Autonomic neuropathy is a complication of diabetes mellitus but not significant with peripheral injuries. Motor neuropathy does occur with poor glucose control but not specific to this injury. Nephropathy is a common complication that directly affects the kidneys.