Chapter 17: Care of Aging Skin and Mucous Membranes

Chapter 17: Care of Aging Skin and Mucous Membranes

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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:

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

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:

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

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

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

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

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