Nursing 10th Edition
By, Eliopoulos
Chapter 1 - 36
, Random preview pages of the whole document - 10 pages
Chapter 5 Common Aging Changes
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:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletal system.
d. peripheral vascular system.
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:
, a. senile lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.
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:
a. melanin.
b. perspiration.
c. body temperature.
d. capillary fragility.
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