Question

A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect?

A) Brown discoloration of the lower extremities
B) Superficial ulcer on the medial aspect of the ankle
C) Dependent rubor
D) Telangiectasias

Answer 1

Peripheral arterial disease can present with brown discoloration of the lower extremities, superficial ulcers on the ankle, dependent rubor, and telangiectasias.

Step-by-step explanation:

Peripheral arterial disease (PAD) is the narrowing of the arteries other than those that supply the heart or brain due to atherosclerosis. Common findings in clients with PAD include:

• Brown discoloration of the lower extremities: This is due to the accumulation of hemosiderin, a pigment derived from red blood cells that leaks into the surrounding tissues when blood flow is constrained.
• Superficial ulcer on the medial aspect of the ankle: This is known as a leg ulcer and occurs due to impaired circulation and compromised tissue healing.
• Dependent rubor: This refers to redness of the feet or legs when they are in a dependent position, caused by inadequate oxygenation of the peripheral tissues.
• Telangiectasias: These are small, dilated blood vessels that may appear on the skin's surface, commonly referred to as spider veins.