The nurse is assessing a client with type 2 diabetes mellitus and observes an abnormal response when using a monofilament. Which finding should the nurse document that is consistent with an abnormal finding?

Rationale: A. Inequality in muscle contraction: Inequality in muscle contraction suggests a motor or musculoskeletal problem, not a sensory deficit. Monofilament testing specifically assesses for sensory neuropathy rather than muscle strength or contraction differences. B. An intention tremor: An intention tremor occurs with voluntary movement and typically indicates cerebellar dysfunction. It is unrelated to monofilament testing, which evaluates sensation, not coordination or movement quality. C. Slowed capillary refill: Capillary refill assesses peripheral perfusion and vascular status, not sensation. While important for overall circulation evaluation, it is not related to the purpose of monofilament testing. D. Loss of peripheral sensation: Monofilament testing is used to detect peripheral neuropathy, a common complication of diabetes mellitus. An abnormal finding would be the inability to feel the pressure of the monofilament, indicating a loss of protective peripheral sensation and increased risk for foot injuries and ulcers.