A 71-year-old woman attends a community nursing service with a shallow ulcer above the left medial malleolus present for 8 weeks. The surrounding skin is brown-stained, the leg becomes swollen by evening, and the ulcer bed is granulating with moderate straw-coloured exudate. Pedal pulses are palpable and the ankle-brachial pressure index is 0.95. There is no surrounding redness or warmth and pain is minimal. Which one of the following is the most appropriate management?
Keep going with ten more like this one.
Practise moreMore from Nursing
See allA 24-year-old woman with type 1 diabetes on a basal-bolus insulin regimen is an inpatient awaiting elective surgery scheduled for the afternoon. Mid-morning she…
Clinical rotations · common
An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…
Clinical rotations · middle twist
A 62-year-old woman is receiving her first unit of packed red blood cells for symptomatic anaemia. Fifteen minutes after commencement her temperature rises from…
Pre-internship · common
A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the i…
Clinical rotations · common
A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…
Clinical rotations · common