Assessment reveals that a female patient has 4+ pitting edema in both lower extremities. Both legs are reddened, with shiny spots, and the skin is dry and flaky
Which assessment finding would the nurse interpret as the best indicator of venous insufficiency? 1. Dry skin
2. Reddened color
3. Flaking skin
4. Shiny skin
2
Rationale 1: Dry skin can be caused by a variety of factors. This is not the best evidence of venous insufficiency.
Rationale 2: This reddened color is called hemosiderin stain and is a simple, noninvasive clue to venous insufficiency.
Rationale 3: Flaking skin can be caused by a variety of factors. This is not the best evidence of venous insufficiency.
Rationale 4: Shininess is related to the edema. This is not the best evidence of venous insufficiency.
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