A patient has been admitted with a lower leg ulcer. Which findings would suggest to the nurse that care specific to a venous ulcer should be planned? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The area around the ulcer is crusted and edematous.
2. There is copious drainage from the wound.
3. The ulcer area has a "punched-out" appearance with defined margins.
4. The area around the wound is spongy.
5. The patient reports working in an occupation that requires lots of sitting.
1,2,4
Rationale 1: Crusting and edema are findings associated with venous ulcers.
Rationale 2: Venous ulcers tend to produce large amounts of drainage.
Rationale 3: Venous ulcers typically have margins that are not well defined.
Rationale 4: Maceration of the periwound tissue is common due to drainage.
Rationale 5: These ulcers are more common in people who have a history of standing for long periods.
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