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    HESI Health Assessment WGU d344 Proctored Exam

    While assessing the legs of an adult client, the nurse observes leathery-looking skin. The client reports aching, tired legs that swell when standing for long periods of time. To screen for venous insufficiency, the nurse should ask the client if they have experienced which subjective finding?

    Explanation & Rationale

    A. Cool, pale skin below the knees is more indicative of arterial insufficiency, not venous insufficiency. B. Venous insufficiency often presents with symptoms like aching and swelling that improve when the legs are elevated. This position helps blood return to the heart, reducing venous pressure and associated discomfort. C. Deep, continuous pain in the calf muscles could suggest deep vein thrombosis (DVT) rather than chronic venous insufficiency. D. Pain relief with warmth is not a typical characteristic of venous insufficiency. Warmth may increase blood flow, but it does not directly address the venous return issues that are alleviated by leg elevation.

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