Certified Wound Ostomy Nurse (CWON) Practice Test

What is a potential consequence of autonomic neuropathy related to bone density?

1. Increased bone density

2. Osteopenia

3. Bone spurs

4. Osteoarthritis

The correct answer is: Osteopenia

Autonomic neuropathy can lead to a range of complications, one of which is osteopenia, a condition characterized by lower than normal bone density. This occurs because autonomic neuropathy affects the regulation of blood flow and the delivery of necessary nutrients to bones, ultimately impairing bone metabolism. When the autonomic nervous system is compromised, it can affect the hormones and signaling pathways that regulate bone resorption and formation, leading to an imbalance that favors bone loss. As a result, osteopenia can develop, which is a marker for increased risk of fractures and progression to osteoporosis. Understanding this connection is crucial for individuals with conditions like diabetes, where autonomic neuropathy is prevalent, as they may be at heightened risk for decreased bone density.