Chapter 03: Physiologic Changes

Chapter 03: Physiologic Changes

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Why does the nurse modify the environment to keep it warmer for the older adult?

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:   pp. 32-33        OBJ:   1

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

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

2. A 75-year-old male is worried that his wartlike dark macules with distinct borders are melanomas. What would be the most likely cause for the macules?

ANS:  C

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

DIF:    Cognitive Level: Comprehension     REF:   p. 32               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. What factor is related to heat intolerance in the older adult?

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:   p. 33               OBJ:   2

TOP:   Heat Intolerance                              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

4. The nurse cautions the Certified Nursing Assistants (CNAs) to use care when transferring or handling older adults. The nurse understands that the vascular fragility of the older adult can result in which of the following conditions?

ANS:  D

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

DIF:    Cognitive Level: Comprehension     REF:   p. 33               OBJ:   7

TOP:   Senile Purpura                                 KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation