You note a painful ulcerative lesion near the medial malleolus, with accompanying hyperpigmentation. Which of the following etiologies is most likely?

A) Arterial insufficiency
B) Neuropathic ulcer
C) Venous insufficiency
D) Trauma


C) Venous insufficiency

These features are most consistent with venous insufficiency. You may also see scaling, redness, varicosities, and other findings. Arterial insufficiency usually affects distal or traumatized areas. Other clues of arterial insufficiency would most likely be present. Neuropathic ulcers occur because of decreased sensation and are common in patients with neuropathy. They are often over bony prominences with surrounding calluses.

Nursing

You might also like to view...

A patient's physician has ordered a "liver panel" in response to the patient's development of jaundice. When reviewing the results of this laboratory testing, the nurse should expect to review what blood tests? Select all that apply

A) Alanine aminotransferase (ALT) B) C-reactive protein (CRP) C) Gamma-glutamyl transferase (GGT) D) Aspartate aminotransferase (AST) E) B-type natriuretic peptide (BNP)

Nursing

A male college student has been diagnosed with an infectious mononucleosis affecting the tonsils. An appropriate treatment is initiated for the client

However, he and his parents want to know the measures that will prevent the infection from spreading and worsening. Which of the following measures should the nurse suggest to prevent the spread of mononucleosis? A) Refrain from taking street drugs. B) Increase the intake of calcium and potassium in the diet. C) Refrain from sharing food and cigarettes with friends and peers. D) Use cotton gloves.

Nursing

The nurse is caring for a patient who is rapidly progressing toward brain death. The nurse should be aware of what cardinal signs of brain death? Select all that apply

A) Absence of pain response B) Apnea C) Coma D) Absence of brain stem reflexes E) Absence of deep tendon reflexes

Nursing

The nurse assessing a 50-year-old female client at an orthopedic center asks about the use of complementary and alternative therapies

Which of the following are among those women often try during menopause? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Vitamin and mineral supplements 2. Increasing caffeine intake 3. Soy and red clover 4. Selective estrogen receptor modulators 5. Salmon calcitonin

Nursing