During a routine office visit, a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base,
well-defined edges, and no drainage. The nurse should assess for other signs and symptoms of:
a.
Varicosities.
b.
Venous stasis ulcer.
c.
Arterial ischemic ulcer.
d.
Deep-vein thrombophlebitis.
ANS: C
Arterial ischemic ulcers occur at the toes, metatarsal heads, heels, and lateral ankle and are characterized by a pale ischemic base, well-defined edges, and no bleeding. (See Table 20-5 for a description of varicose veins and deep-vein thrombophlebitis. See Table 20-4 for a description of venous stasis ulcers.)
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