The nurse is caring for a client who has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. Which of the following actions would the nurse implement to determine whether the lesion is related to blood vessel dilation?
A)Elevate the client's leg
B)Press firmly on the lesion
C)Check the temperature of the skin around the lesion
D)Palpate the dorsalis pedis and posterior tibial pulses

Question

Quizplus · Accepted Answer

If the lesion is caused by blood vessel dilation, blanching will occur with direct pressure. The other assessments will assess circulation to the leg, but will not be helpful in determining the etiology of the lesion.

The Nurse Is Caring for a Client Who Has a Circular