Certified Wound Ostomy Nurse (CWON) Practice Test

Which observation is a sign of autonomic neuropathy?

1. Warm and moist feet

2. Cold and dry feet

3. Very dry or very damp feet

4. Healthy skin texture

The correct answer is: Very dry or very damp feet

The presence of very dry or very damp feet is a significant indicator of autonomic neuropathy. This condition affects the autonomic nervous system, which regulates involuntary bodily functions, including sweating and blood flow. In individuals with autonomic neuropathy, the ability to perspire can be impaired. This can result in the feet becoming very dry due to insufficient moisture production. Conversely, some individuals may experience compensatory hyperhidrosis in other areas, leading to an abnormal moisture content, making the feet excessively damp as a result of disrupted nerve signaling and autonomic function. This observation helps healthcare providers assess the severity of the autonomic dysfunction a patient may be experiencing, guiding them in developing appropriate care and management strategies. Other options present conditions that don’t align with the classic signs of autonomic neuropathy with regards to moisture regulation.