An older adult patient has an open,draining wound on the lower medial aspect of the right leg.The skin surrounding the wound is reddish brown with surrounding erythema and edema.Based on this information,the nurse edits the patient's care plan to include impaired skin integrity related to which factor?
A)Altered venous circulation
B)Arterial insufficiency
C)Diabetic neuropathy
D)Pressure ulcer

Question

Quizplus · Accepted Answer

The reddish brown color surrounding the wound, along with the presence of erythema and edema, suggests that the wound is caused by impaired venous circulation. This can lead to poor oxygenation and nutrient delivery to the area, which impairs the skin's ability to heal and maintain its integrity. Arterial insufficiency causes a different type of wound with a pale or necrotic appearance, and diabetic neuropathy usually manifests as decreased sensation rather than open, draining wounds. Pressure ulcers can also cause impaired skin integrity, but the location and presentation of this patient's wound do not suggest pressure as the primary factor.

An Older Adult Patient Has an Open,draining Wound on the Lower