Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 17: Care of Aging Skin and Mucous Membranes
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Arteriosclerotic changes in the vessels |
| b. | Prolonged clotting time |
| c. | Fragility of capillary walls |
| d. | Reduction of subcutaneous fat |
ANS:Â 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:Â NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Red area on upper right thigh. Patient denies discomfort |
| b. | Erythematous scaly patch 2 ´ 2 cm on lateral aspect of right thigh. Patient denies pain |
| c. | Painless red patch on right thigh 2 ´ 2 cm |
| d. | Medium-size red scaly patch on right thigh. 0 drainage. 0 pain |
ANS:Â 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:Â NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Decreased production of melanin |
| b. | Altered blood circulation to the scalp |
| c. | Decreased density of hair |
| d. | Environmental factors |
ANS:Â 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:Â NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Respiratory sounds |
| b. | Pedal pulses |
| c. | History of gout |
| d. | Intake of dietary calcium |
ANS:Â 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:Â Â NCLEX: Physiological Integrity: Physiological Adaptation
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