Question

A burse is caring for a dient who has an uiceration on their ankle. Which of the following findings should the nurse identify as consistent with a venous statis

Select all that apply.
a. Bounding dorsalis pedal puse
b. Son color on the ane that is danker than pusoundingskanto
c. Pain when resting
d. Cool sain temperature in the tower leg
e. Palpable dos pedal pulse

Answer 1

The nurse should identify pain when resting, cool skin temperature in the lower leg, and discoloration on the ankle as consistent with venous stasis.

Step-by-step explanation:

Venous stasis refers to the impaired blood flow in the lower extremities. The nurse should identify the following findings as consistent with venous stasis:

• Pain when resting: This occurs because blood tends to pool in the veins, leading to increased pressure.
• Cool skin temperature in the lower leg: Reduced blood flow can cause a decrease in skin temperature.
• Son color on the ankle that is darker than surrounding skin: Venous stasis can result in skin discoloration, typically with a dark or brownish appearance.

The other findings listed in the question, such as bounding dorsalis pedal pulse and palpable dorsalis pedal pulse, are not consistent with venous stasis.

Answer 2

B, C, D
Hope this helps