Which of the following statements is true regarding the development of venous ulcers in older adults?
a. The major symptom is severe leg pain, especially when walking.
b. The affected leg is commonly pale and hairless, and pulses are difficult to palpate.
c. Diabetes, peripheral neuropathy, and nu-tritional deficiencies are causative factors.
d. The ulcers are generally located on the tips of toes.
C
Venous ulcers are generally found on the medial or lateral aspects of the lower limbs, most often in older adults. Induration, edema, and hyperpigmentation are common. Heart failure, hypoal-buminemia, peripheral neuropathy, diabetes mellitus, nutritional deficiencies, and arterial disease cause the venous ulcers to develop. The major symptom of venous ulcers is not severe leg pain. In patients with venous ulcers, the affected leg is not commonly pale and hairless, and pulses are not difficult to palpate. Venous ulcers are not generally located on the tips of toes.
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