The Nurse Is Documenting an Ulcer on the Lateral Aspect

question 16

Multiple Choice

The nurse is documenting an ulcer on the lateral aspect of the client's right great toe. The nurse notes that the ulcer is pale with well-defined edges and there is no evidence of bleeding. Which other assessment data would be useful to determine the origin of this client's ulcer?

• A) Skin turgor.
• B) Calf measurements.
• C) Homan's sign.
• D) Peripheral pulses.

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Definitions:

Hypothyroidism

A condition where the thyroid gland doesn’t produce enough thyroid hormones, leading to symptoms like fatigue, weight gain, and cold intolerance.

Hypertension

A chronic medical condition characterized by persistently elevated blood pressure in the arteries, often leading to significant health risks.

Depression

(1) Reduction in happiness and well-being that contributes to physical and social limitations and complicates the treatment of concomitant medical conditions. It is usually reversible with treatment. (2) Fourth stage of Kübler-Ross's stages of grief and dying. In this stage the person realizes the full impact and significance of the loss.

Narcolepsy

Syndrome involving sudden sleep attacks that a person cannot inhibit. Uncontrollable desire to sleep may occur several times during a day.