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: 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: 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: 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: Physiological Integrity: Physiological Adaptation
| a. | reduced melanocytes. |
| b. | altered blood circulation to the scalp. |
| c. | decreased density of hair. |
| d. | environmental factors. |
ANS: A
Decreasing melanocytes in the hair cause the hair to lose color and turn gray.
DIF: Cognitive Level: Comprehension REF: 267, Table 17-1
OBJ: 1 TOP: Gray Hair KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | fungal infection of the toenails. |
| b. | pedal pulses. |
| c. | history of gout. |
| d. | 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: Physiological Integrity: Physiological Adaptation
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