The client was recently diagnosed with venous insufficiency. Which client statements support the client's diagnosis? 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."
Correct Answer: 2, 5
Edema in the lower extremities is associated with venous insufficiency. The ulcers consistent with a diagnosis of venous insufficiency are 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. 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. Pale skin on the lower extremities is associated with arterial insufficiency. Venous insufficiency results in darkened skin on the lower extremities. Pain with walking 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.
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