A nurse is collecting data from a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?

Choice A reason: Shiny skin is associated with peripheral arterial disease due to reduced blood flow causing trophic changes. Peripheral venous disease causes venous stasis, leading to swollen veins and edema, not shiny skin. This finding is incorrect, as it reflects arterial insufficiency rather than venous pathology in the lower extremities. Choice B reason: Swollen and enlarged veins are hallmark manifestations of peripheral venous disease, resulting from venous stasis and incompetent valves, causing blood pooling and varicosities. This increases venous pressure, leading to visible vein enlargement, making this the primary finding the nurse should recognize in clients with this condition. Choice C reason: Diminished hair growth is characteristic of peripheral arterial disease, where reduced arterial flow impairs follicle nourishment. Peripheral venous disease causes edema and varicosities, not hair loss. This finding is incorrect, as it reflects arterial, not venous, pathology, making it irrelevant to the client’s condition. Choice D reason: Loss of pigmentation over the shin suggests arterial insufficiency or chronic venous stasis dermatitis with hyperpigmentation, not depigmentation. Peripheral venous disease typically causes brownish discoloration from hemosiderin. This finding is incorrect, as swollen veins are more specific to venous disease than pigmentation changes.