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. When the older adult complains of the multiple raspberry-colored bruises on his extremities (senile purpura), the nurse explains that these colorful marks of increasing age are 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 bright raspberry-colored bruises to develop with the mildest injury.
DIF: Cognitive Level: Comprehension REF: 266 OBJ: 3
TOP: Senile Purpura KEY: Nursing Process Step: Implementation
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

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

  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.

  3. painless red patch on right thigh 2  2 cm.
  4. medium-size red scaly patch on right thigh. 0 drainage. 0 pain.

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: 267 OBJ: 1
TOP: Skin Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

3. The nurse is aware that progressively graying hair is caused by:

  1. reduced melanocytes.
  2. altered blood circulation to the scalp.
  3. decreased density of hair.
  4. environmental factors.

ANS: A
Decreasing melanocytes in the hair cause the hair to lose color and turn gray.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank

17-2

DIF: Cognitive Level: Comprehension
OBJ: 1 TOP: Gray Hair KEY:
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

REF: 267, Table 17-1
Nursing Process Step: Assessment

4. When the assessment of a patient’s toenails reveals brittle thick nails with longitudinal lines in the nail, the nurse should assess for:

  1. fungal infection of the toenails.
  2. pedal pulses.
  3. history of gout.
  4. 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: 267, Table 17-1
OBJ: 2 TOP: Age-Related Nail Changes
KEY: Nursing Process Step: Assessment
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

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. These are all signs of:

  1. rosacea.
  2. keratosis.
  3. pruritus.
  4. 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: 268 OBJ: 1
TOP: Scabies KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

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