A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?
Pallor of the toes and cyanosis of the nail beds
Thin, shiny, atrophic skin
Brownish discoloration to the skin of the lower leg
Unilateral cool foot
The Correct Answer is C
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking about cramping or tingling is unnecessary without other signs of compromised circulation.
B. Referral is not needed if perfusion is adequate.
C. Checking for claudication relates to arterial insufficiency, not absence of ulnar pulse.
D. Proceeding with the evaluation is appropriate if perfusion is adequate, as indicated by normal capillary refill and warm skin.
Correct Answer is C
Explanation
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
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