The client was recently diagnosed with venous insufficiency. Which of the following statements by the client are consistent with this diagnosis? Standard Text: Select all that apply
1. "My legs are so cold that they feel like ice.".
2. "My ankles and feet are always swollen.".
3. "The skin on my leg looks so pale.".
4. "When I walk around a lot, my legs just ache.".
5. "I have an ulcer on my inner leg above my ankle that just bleeds and bleeds.".
2,5
Rationale 1: "My legs are so cold that they feel like ice.". Clients with arterial insufficiency may complain that their legs feel cool or cold. The nurse is more likely to determine that the legs of clients with venous insufficiency have temperatures that are within normal limits.
Rationale 2: "My ankles and feet are always swollen.". Edema in the lower extremities is associated with venous insufficiency.
Rationale 3: "The skin on my leg looks so pale.". Pale skin on the lower extremities is associated with arterial insufficiency. Venous insufficiency results in darkened skin on the lower extremities.
Rationale 4: "When I walk around a lot, my legs just ache.". This statement is consistent with a client who has been diagnosed with arterial insufficiency. The type of discomfort associated with venous insufficiency is aggravated by prolonged standing or sitting and is relieved by several hours of rest.
Rationale 5: I have an ulcer on my inner leg above my ankle that just bleeds and bleeds.". This type of ulcer is consistent with a diagnosis of venous insufficiency. These ulcers are more likely to bleed and can be found in this area of the lower extremity. Arterial insufficiency ulcers are often described as dry, pale, with defined edges.
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