Today’s NCLEX-RN® question of the day focuses on a client diagnosed with venous insufficiency. Can you figure it out?
The nurse is interviewing a client diagnosed with venous insufficiency. Which of the following statements by the client is consistent with this diagnosis?
A. “My feet are always cold, and I can’t seem to keep them warm.”
B. “My legs and ankles have been really swollen lately.”
C. “I get pain in my legs whenever I walk a lot.”
D. “I’ve got this fungal infection on my toenail that won’t go away.”
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The correct answer to today’s NCLEX-RN® Question is…
B. “My legs and ankles have been really swollen lately.”
Rationale: Venous insufficiency may be caused by problems such as incompetent valves or varicose veins. Both of these problems impede venous return to the heart, resulting in edema. Peripheral artery disease (PAD) is characterized by decreased pulses, cool lower legs and feet, intermittent claudication, lower extremity infections, non-healing wounds, and ulcers.
Main takeaway
A characteristic of venous insufficiency is dependent edema.
-> Learn more about PAD and the Nursing ADPIE process on Osmosis.
Incorrect answer explanations
A. “My feet are always cold, and I can’t seem to keep them warm.”
Rationale: This statement is an indication of peripheral artery disease (PAD) and is related to decreased arterial circulation to the lower extremities.
C. “I get pain in my legs whenever I walk a lot.”
Rationale: This statement indicates intermittent claudication, which is exercise-related lower extremity muscle pain that’s relieved by rest. Intermittent claudication is a symptom of peripheral artery disease (PAD).
D. “I’ve got this fungal infection on my toenail that won’t go away.”
Rationale: Fungal infections are an indication of peripheral artery disease (PAD), and is related to decreased arterial circulation to the lower extremities.
References
McCance, K. & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis, MO: Elsevier.
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