An older adult client has an open, draining wound on the medial aspect of his right leg.The skin surrounding the wound is reddish-brown with surrounding erythema and edema.Based on this information, the nurse edits the client's care plan to include Impaired skin integrity:
A)related to altered venous circulation.
B)peripheral related to arterial insufficiency.
C)related to diabetic neuropathy.
D)open wound related to pressure ulcer.

Question

Quizplus · Accepted Answer

Venous ulcers are usually on the medial aspect of the lower leg, with flat or shallow craters and irregular borders, accompanied by varicosities, liposclerosis (brown-ruddy color and thickened skin), and itching. Venous ulcers generate a large amount of exudate and are usually surrounded by erythema and edema.

An Older Adult Client Has an Open, Draining Wound on the Medial