A nurse working in a long-term care facility is performing the admission assessment of a newly admitted, 85-year-old resident
During inspection of the resident's feet, the nurse notes that she appears to have early evidence of gangrene on one of her great toes. The nurse knows that gangrene in the elderly is often the first sign of what?
A) Chronic venous insufficiency
B) Raynaud's phenomenon
C) VTE
D) PAD
Ans: D
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In elderly people, symptoms of PAD may be more pronounced than in younger people. In elderly patients who are inactive, gangrene may be the first sign of disease. Venous insufficiency does not normally manifest with gangrene. Similarly, VTE and Raynaud's phenomenon do not cause the ischemia that underlies gangrene.
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