Difficulty: Medium
Average Score: 78%
Simulated
Upon assessing the client who has distal foot pain due to vascular insufficiency, the nurse notes the wound illustrated. When reviewing the clientÔÇÖs medical record, which notation is the nurse likely to find?
Correct answer
B
Rationale
The nurse should find a notation of an arterial ulcer on the right foot. Arterial ulcers typically occur on the feet; they are deep, and the ulcer bed is pale with even, defined edges and limited granulation tissue. Venous ulcers are at the ankle, diabetic ulcers are plantar, and stress ulcers are gastric.