The nurse completes an assessment with a patient and begins planning care for a venous leg ulcer. What manifestations did the nurse use to make this clinical decision?
Select all that apply.
1. There is an ulcer located on the toe.
2. The ulcer is superficial and pink.
3. Pulses in the foot are decreased.
4. Skin over the leg is discolored brown.
5. The patient rates pain as 8 on a scale from 0 to 10.
Correct Answer: 2, 4
Manifestations of a venous ulcer include superficial wound that is pink and brown skin discoloration. Arterial ulcers are located on the toe. Pulses are decreased with an arterial ulcer. Severe pain is associated with an arterial ulcer.
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