Question

An older adult comes to the clinic complaining of pain in the left foot. While assessing the patient, the nurse notes smooth, shiny skin that contains no hair on the clients lower legs. Which condition does this finding suggest?

1) Venous insufficiency
2) Hyperthyroidism
3) Arterial insufficiency
4) Dehydration

Answer 1

Hey ! Based on the nurse's observation of smooth, shiny skin with no hair on the lower legs, this finding suggests a possible condition called arterial insufficiency. It's always important to seek medical advice for a proper diagnosis and treatment. Take care of yourself!

Answer 2

Smooth, shiny skin with no hair on an older adult's lower legs likely suggests arterial insufficiency, indicating poor blood circulation to the limbs.

Step-by-step explanation:

An older adult with smooth, shiny skin containing no hair on the lower legs is most likely presenting with a condition related to arterial insufficiency. The appearance of the skin in this manner suggests that there is poor blood circulation to the lower extremities. Oftentimes, a lack of arterial blood flow can lead to atrophic changes such as loss of hair, thinning of the skin, and a shiny appearance. It does not typically present with symptoms of venous insufficiency, which would more likely include swollen, twisted varicose veins and edema, as described in the figures depicting varicose veins and edema. It is also unlikely to be related to hyperthyroidism or dehydration based on the described clinical manifestation. As described in Figure 17.7.7, peripheral artery disease (PAD) is another condition that demonstrates decreased blood flow and may present with similar symptoms of pain and skin changes. This reinforces the suggestion that the finding of smooth, shiny, hairless skin is indicative of arterial insufficiency.