What additional information is needed from the patient history and physical assessment to determine if this patient has arterial or venous insufficiency?

A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination to maintain his continued employment. Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with non pitting edema in both ankles. He has a 30 year history of smoking two packs of cigarettes per day.

· What additional information is needed from the patient history and physical assessment to determine if this patient has arterial or venous insufficiency?

· Compare and contrast evidence based nursing interventions for the patient diagnosed with arterial insufficiency and the patient diagnosed with venous insufficiency.