HESI ASSESSMENT TEST EXAM UPDATED QUESTIONS AND ACCURATE ANSWERS VERIFIED THE NEWEST ACTUAL EXAM COMPLETE FOR EXAM PREPARATION 2024-2025 The nurse is assessing an ulcer on a client's lower extremity, which is likely the result of either venous or arterial insufficiency. Which assessment technique should the nurse use to differentiate the pathophysiology causing the ulcer? A. Measure the degree of join range of motion in the extremity. B. Compare the skin turgor of the client's upper and lower leg. C. Observe the specific location and appearance of the ulceration. D. Note any change in the color of the ulcer when the leg is moved - ANSWER-Correct answer is C. Location and appearance of the ulcer would give us the type (venous vs arterial) Venous: develop on the inner lower leg, shallow wounds that are large and irregular edges that slope, red with granular tissue, discoloration with yellow slough present, shiny skin warm or scaly Arterial: occur most often on the foot, on the heels and around lateral malleolus, round shaped, well-defined edges, yellow, brown or black in color, skin pale and non granulating, deep but may also appear shallow in early stages, skin is thin, smooth, taut, and dry. Loss