Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a typical symptom of a venous ulcer?

1. Localized numbness

2. Irregular edges

3. Consistent warmth

4. Severe throbbing pain

The correct answer is: Irregular edges

A typical symptom of a venous ulcer is the presence of irregular edges. Venous ulcers are often characterized by a poorly defined border, which is distinct from arterial ulcers that typically have well-defined, smooth edges. The irregularity of the ulcer's borders can be attributed to the chronic nature of venous insufficiency, which leads to improper healing and skin breakdown. This characteristic helps in differentiating venous ulcers from other types, such as diabetic or arterial ulcers, which present differently in terms of wound edges. Understanding the morphology of the ulcer can assist healthcare professionals in correctly identifying the type of ulcer, and consequently, in formulating an appropriate treatment plan.