A client admitted with chronic venous insufficiency has an infected wound of his left lower extremity. Which of the following would the nurse find regarding this client's wound?
1. Ulceration that is pale in color
2. Skin surrounding ulcer that is cool to the touch
3. Pulses absent in the extremity with the wound
4. Wound that is pink with surrounding skin warm and brown in color
4. Wound that is pink with surrounding skin warm and brown in color
Rationale:
Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses has the manifestations seen with arterial ulcers.
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