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

What signs might indicate autonomic neuropathy?

1. Presence of ulcers on the feet

2. Very dry or very damp feet

3. Discoloration of the nail beds

4. Thinning of the skin

The correct answer is: Very dry or very damp feet

The presence of very dry or very damp feet is indicative of autonomic neuropathy because this condition affects the autonomic nervous system, which controls involuntary bodily functions, including sweating and temperature regulation. In individuals with autonomic neuropathy, the normal mechanisms of perspiration can be impaired, leading to either excessive dryness due to decreased sweat production or increased moisture because of other dysfunctions in the autonomic pathways. On the other hand, while the other signs listed might relate to different conditions or complications often seen in neuropathies or other dermatological issues, they do not specifically point to autonomic neuropathy. Ulcers on the feet may arise from various factors, including peripheral vascular disease or pressure, while discoloration of the nail beds can signal circulatory issues or other systemic concerns. Thinning of the skin is typically associated with aging or certain skin conditions, rather than directly linked to the autonomic dysfunction that characterizes autonomic neuropathy.