Certified Medical-Surgical Registered Nurse Practice Exam

What is a common complication associated with venous ulcers?

1. Pale wound bed

2. Gangrene

3. Heavy exudate

4. Severe ischemic pain

The correct answer is: Heavy exudate

Heavy exudate is indeed a common complication associated with venous ulcers. Venous ulcers typically occur due to chronic venous insufficiency, which leads to poor venous return and increased pressure in the veins of the legs. This pressure results in fluid leakage into the surrounding tissues, contributing to the formation of ulcers. The ulcers often present with a thick, heavy exudate because of the inflammatory response, edema, and the body attempting to heal the damaged tissue. While venous ulcers can exhibit other characteristics, such as a “shallow” appearance or surrounding edema, the presence of heavy exudate is particularly indicative of the underlying venous pathology and the body's response to the injury. This exudate can complicate treatment by causing further skin irritation and increasing the risk of infection, making effective management and dressing changes essential for promoting healing.