A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity.Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
A) Pulses absent in the extremity with the wound
B) Wound that is pink with skin warm
C) Ulceration that is pale in color
D) Skin surrounding ulcer that is cool to the touch
E) Surrounding skin brown in color

Question

Quizplus · Accepted Answer

A) Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.
B) Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.
C) Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.
D) Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.
E) Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.

A Client Admitted with Chronic Venous Insufficiency Has an Infected