A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?
Explanation & Rationale
Choice A reason: Edema, or swelling, is a common finding in clients with chronic venous insufficiency. Poor venous return leads to fluid accumulation in the lower extremities, causing swelling. This is a key clinical feature that the nurse should expect and monitor in these patients. Choice B reason: Hair loss is more commonly associated with arterial insufficiency rather than venous insufficiency. Arterial insufficiency can lead to reduced blood flow to the extremities, causing hair loss. Therefore, it is not an expected finding in chronic venous insufficiency. Choice C reason: Dependent rubor, or redness of the lower extremities when they are in a dependent position, is also more characteristic of arterial insufficiency. In venous insufficiency, the lower extremities may appear discolored or have varicose veins, but dependent rubor is not a typical feature. Choice D reason: Thick, deformed toenails are usually associated with fungal infections or poor peripheral circulation, often seen in arterial insufficiency or diabetes. They are not a primary characteristic of chronic venous insufficiency, making this choice less relevant.