Question

the nurse notes that a client has a painful ulcerative lesion near the medial malleolus with accompanying hyperpigmentation. which of the following etiologies is most likely? neuropathic ulcer venous insufficiency arterial insufficiency trauma

Explanation:

Venous insufficiency ulcers often occur near the medial malleolus and are associated with hyperpigmentation due to hemosiderin - laden macrophages from red blood cell breakdown. Neuropathic ulcers are more related to loss of sensation and typically on pressure - bearing areas. Arterial insufficiency ulcers are usually painful but tend to be on the toes or distal extremities and have different characteristics like pale or gangrenous appearance. Trauma - related ulcers would have a history of injury.

Answer:

B. Venous insufficiency