Question

Home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer. on removing the dressing from the leg ulcer, the nurse notes that the ulcer is pale and deep and that the surrounding tissue is cool to the touch. the nurse should document that these findings identify which type of ulcer?

Answer 1

Symptoms of ischemic ulcers include:

Dark red, yellow, gray, or black sores.
Raised edges around the wound (looks punched out).
No bleeding.
--->Deep wound through which tendons may show through.
Skin on the leg appears shiny, tight, dry, and hairless.
Dangling the leg down off the side of a bed or chair causes the leg to turn red.
--->When you raise the leg it turns pale and cool to touch.
Leg pain, often at night. Pain may go away when the leg is dangled down.
Ulcer may or may not be painful.
Wounds may appear on legs, ankles, toes, and between toes.