Which of the following statements regarding idiopathic neuropathy is true?
Idiopathic neuropathy has no known cause.
Idiopathic neuropathy is hereditary in nature.
Idiopathic neuropathy is caused by nutritional deficits.
Idiopathic neuropathy is caused by disease or illness.
The Correct Answer is A
A) Idiopathic neuropathy has no known cause: This statement is accurate, as idiopathic neuropathy refers to nerve damage for which no specific cause can be identified despite thorough investigation. The term "idiopathic" literally means "of unknown origin," indicating that the underlying mechanism remains unclear.
B) Idiopathic neuropathy is hereditary in nature: While some neuropathies can be hereditary, idiopathic neuropathy itself is not classified as hereditary since it lacks a defined genetic cause. Hereditary neuropathies are specific types that have a genetic basis.
C) Idiopathic neuropathy is caused by nutritional deficits: Nutritional deficits can lead to various types of neuropathy, but idiopathic neuropathy specifically is characterized by the absence of a known cause. Therefore, attributing it to nutritional deficits would be incorrect.
D) Idiopathic neuropathy is caused by disease or illness: While certain diseases can cause neuropathy, the key characteristic of idiopathic neuropathy is that no specific disease or illness has been identified as the cause. This differentiates it from other neuropathies that are secondary to identifiable conditions.
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Correct Answer is B
Explanation
A) Left extremity cool to touch, normal pitting edema, with femoral, posterior tibial, and dorsalis pedis pulses palpable, +2: While this option describes the left extremity and includes some relevant details, it inaccurately uses "normal pitting edema" without specifying the degree of edema clearly. Additionally, it lists the posterior tibial pulse instead of the popliteal, which is more appropriate given the anatomical location.
B) Left lower extremity cool to touch, +2 pitting edema, with femoral, popliteal, and dorsalis pedis pulses palpable, +2: This documentation accurately describes the left lower extremity, specifies the degree of edema as "+2," and correctly identifies the relevant pulses as femoral, popliteal, and dorsalis pedis. This terminology is clear and concise, providing a comprehensive assessment of the vascular status.
C) Left lower leg cool to touch, +4 edema with femoral, posterial tibial, dorsalis and pedis pulses normal: This option incorrectly reports the degree of edema as "+4," which indicates severe swelling, not matching the original assessment of "mild edema." It also incorrectly lists the posterior tibial pulse, which should be popliteal.
D) Left lower leg normal cool temperature, slight swelling, femoral, posterior tibial and dorsalis pedis pulses normal: The term "normal cool temperature" is confusing and not standard terminology. Additionally, "slight swelling" lacks specificity regarding the degree of edema, which is important for a clinical assessment. Furthermore, it inaccurately refers to the posterior tibial pulse instead of the popliteal.
Correct Answer is A
Explanation
A) Obtain a height and weight and calculate a body mass index (BMI): Calculating BMI provides a valuable assessment of a patient’s body composition and overall health related to dietary habits. BMI is a widely used indicator that helps categorize individuals into underweight, normal weight, overweight, and obese categories. Understanding where a patient falls within these categories can highlight the potential impact of dietary habits on health and guide further dietary interventions or education.
B) Review all medications the patient is taking: While reviewing medications is important, it primarily focuses on pharmacological management rather than directly assessing dietary habits. Some medications may have dietary restrictions or require specific nutrient intake, but this does not provide a comprehensive view of the patient's overall dietary habits and their effects on health.
C) Ask about how much food is eaten at an average meal: While inquiring about portion sizes is relevant, it does not give a full picture of dietary habits, including food variety, nutrient quality, and frequency of meals or snacks. A single question about average meal size may overlook other critical aspects of the patient’s eating patterns and nutritional intake.
D) Assess for the presence of any chronic disease processes: Evaluating chronic diseases is crucial for understanding health implications, but it does not directly assess dietary habits. Chronic conditions can be influenced by diet, but the assessment of dietary habits requires a more direct inquiry into nutritional intake and lifestyle choices rather than focusing solely on disease presence.