Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a common presentation of autonomic neuropathy?

1. Excessive sweating

2. Increased muscle strength

3. Loss of sweating

4. Improved healing

The correct answer is: Loss of sweating

A common presentation of autonomic neuropathy is the loss of sweating, known medically as anhidrosis or hypohidrosis. This condition occurs due to dysfunction of the autonomic nervous system, which controls involuntary bodily functions, including sweat production. In patients with autonomic neuropathy, the signals that normally stimulate sweat glands are impaired, leading to reduced or absent sweating responses, particularly in the extremities. This can increase the risk of overheating and may complicate management of other conditions by impairing the body’s ability to regulate temperature effectively. Understanding the nuances of autonomic neuropathy helps in patient care, as the associated problems can contribute to the challenges faced by individuals with diabetes, multiple sclerosis, or other neuropathic conditions. Recognizing the loss of sweating is essential for preventing heat-related illnesses and addressing patient comfort and safety.