Chapter 03: Physiologic Changes

Chapter 03: Physiologic Changes

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse keeps the environment warmer for older adults because they are more sensitive to cold because of the age-related changes in their:

ANS:   B

The reduction of subcutaneous tissue as an age-related change causes sensitivity to cold because it is the main insulator of the body.

DIF:    Cognitive Level: Application REF:    36        OBJ:    1

TOP:    Sensitivity to Cold                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

2. The nurse reassures the distressed 75-year-old male that the wartlike dark macules with distinct borders are not melanomas, but the skin lesions of:

ANS:   C

Dark, slightly raised macules are seborrheic keratoses, which may be mistaken for melanomas.

DIF:    Cognitive Level: Comprehension       REF:    33        OBJ:    1

TOP:    Seborrheic Keratosis               KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

3. The nurse is accompanying a group of older adults on a July 4th outing to monitor heat prostration. Older adults are intolerant of heat because of an age-related reduction of:

ANS:   B

Reduction in perspiration related to reduced sweat gland function results in possible heat intolerance from an inability to cool the body by evaporation.

DIF:    Cognitive Level: Analysis      REF:    34        OBJ:    2

TOP:    Heat Intolerance                      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

4. The nurse cautions the CNAs to use care when transferring or handling older adults because their vascular fragility will cause:

ANS:   D

Increased capillary fragility results in subcutaneous hemorrhage or senile purpura from incautious handling by caregivers.

DIF:    Cognitive Level: Comprehension       REF:    34-35   OBJ:    7

TOP:    Senile Purpura                         KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

5. The nurse assesses a stage I pressure ulcer on an older adult’s coccyx by the appearance of a:

ANS:   B

A red nonblanchable area is indicative of a stage I pressure ulcer.

DIF:    Cognitive Level: Analysis      REF:    35        OBJ:    5

TOP:    Pressure Ulcer                         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation