Chapter 17 Care of Aging Skin and Mucous Membranes

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Chapter 17  Care of Aging Skin and Mucous Membranes

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The older adult complains of multiple bruises on his extremities. What are the marks the result of?

  1. Arteriosclerotic changes in the vessels
  2. Prolonged clotting time
  3. Fragility of capillary walls
  4. Reduction of subcutaneous fat

ANS: C
Age-related fragility of the capillary walls allows bruises to develop with the mildest injury.

DIF: Cognitive Level: Comprehension REF: p. 269 OBJ: 1 TOP: Bruises KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

2. The nurse assesses an area of skin on the patient’s upper thigh that is different in appearance than the surrounding skin. What documentation would be the most informative?

  1. Red area on upper right thigh. Patient denies discomfort
  2. Erythematous scaly patch 2  2 cm on lateral aspect of right thigh. Patient denies

    pain

c.
d. Medium-size red scaly patch on right thigh. 0 drainage. 0 pain

Painless red patch on right thigh 2  2 cm

ANS: B
The second option describes color and texture alterations, location, size, and subjective and objective data related to the lesion.

DIF: Cognitive Level: Analysis REF: p. 272 OBJ: 1
TOP: Skin Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

3. What is the cause of progressively graying hair?

  1. Decreased production of melanin
  2. Altered blood circulation to the scalp
  3. Decreased density of hair
  4. Environmental factors

ANS: A
Decreased production of melanin causes the hair to lose color and turn gray.

DIF: Cognitive Level: Comprehension REF: Table 17-1, p. 270
OBJ: 1 TOP: Gray Hair KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4. A patient’s toenails are brittle and thick. What other assessment should the nurse be sure to include?

a. Respiratory sounds

  1. Pedal pulses
  2. History of gout
  3. Intake of dietary calcium

ANS: B
The nail changes are the result of decreased peripheral circulation. Checking for the strength of pedal pulses can add extra information related to circulation.

DIF: Cognitive Level: Analysis REF: p. 275 OBJ: 2
TOP: Age-Related Nail Changes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. The 80-year-old woman newly admitted to a long-term care facility complains of intense itching in her axillae and antecubital fossa. There are small red lesions in linear patterns. What condition does the nurse suspect?

a. Rosacea b. Keratosis c. Pruritus d. Scabies

ANS: D
Scabies is common in older adults, causing intense itching and small red lesions in a linear pattern. The condition is communicable and, unless treated, can spread to the entire facility.

DIF: Cognitive Level: Comprehension REF: p. 271 OBJ: 1 TOP: Scabies KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

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