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

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Which of the following is a systemic symptom of vasculitic ulcers?

  1. Joint pain

  2. Localized swelling

  3. Redness around the wound

  4. Decreased mobility

The correct answer is: Joint pain

Joint pain is recognized as a systemic symptom of vasculitic ulcers because it indicates inflammation that affects the entire body, often associated with vascular conditions. Vasculitis itself is an inflammatory response in the blood vessels that can lead to various systemic manifestations, of which joint pain is a common feature. This symptom arises due to the immune system's impact on the joints, which may be inflamed as part of the broader inflammatory process occurring in vasculitis. Localized swelling and redness around the wound are typically more localized responses to injury or inflammation, reflecting the body's localized tissue response rather than a systemic condition. Decreased mobility can result from pain or joint issues, but it is not a direct systemic symptom of vasculitis. Joint pain, in contrast, is closely tied to the systemic nature of the vasculitic process, making it the most appropriate choice in this context.