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WorksheetsGeriaP2_Skin
Total questions: 20
Worksheet time: 10mins
Which age-related change in the integumentary system primarily contributes to delayed wound healing in older adults?
Increased melanin production
Decreased collagen and subcutaneous fat
Enhanced sebaceous gland activity
Improved vascular supply to the dermis
An 85-year-old patient has been bedridden for two weeks. Which area is MOST likely to develop a pressure ulcer first?
Abdomen
Forearm
Sacrum
Thigh
A nurse notices warmth, redness, and tenderness over a patient's heel. What is the most appropriate immediate nursing intervention?
Apply a heating pad to increase circulation
Massage the area vigorously to improve blood flow
Reposition the patient and avoid pressure on the heel
Apply a cold compress to reduce inflammation
Why should older adults avoid using hot water during bathing?
It increases the risk of bacterial infections
It can cause excessive drying of already compromised skin
It stimulates overproduction of sebum
It interferes with vitamin D synthesis
Which nursing diagnosis would be MOST appropriate for an older adult with thinning subcutaneous tissue?
Ineffective thermoregulation related to decreased insulation
Impaired gas exchange related to skin thickness
Excess fluid volume related to skin changes
Ineffective breathing pattern related to chest wall changes
What is the recommended frequency for repositioning an immobile older adult to prevent pressure ulcers?
Every 15 minutes
Every 30 minutes
Every 2 hours
Every 4 hours
An older patient complains that their nails have become dull and brittle. This change is primarily due to:
Increased keratin production
Enhanced blood flow to nail beds
Reduced vascular supply to the nailbed
Excessive moisture in the nail matrix
Which intervention is MOST appropriate for nail care in older adults?
Cutting nails with sharp scissors
Soaking nails in warm water before filing
Using metal files only
Trimming nails very short
Why is skin turgor considered a poor estimate of hydration status in older adults?
Increased elasticity makes assessment difficult
Excessive subcutaneous fat interferes with assessment
Decreased collagen and subcutaneous fat affect skin elasticity
Enhanced blood flow alters skin texture
Which type of soap should be recommended for older adults?
Antibacterial soap
Deodorant soap
Soap with high fat content
Medicated soap
When should moisturizers be applied for maximum effectiveness in older adults?
Before bathing
Immediately after bathing when skin is moist
Only at bedtime
Several hours after bathing
What causes the gray hair commonly seen in aging?
Decreased blood supply to hair
Increased keratin production
Hair follicles produce less melanin
Hormonal overproduction
Which statement about sweat glands in older adults is correct?
Eccrine glands increase in number
Apocrine glands become more active
Sweat glands diminish with age
Sebaceous glands produce more oil
A nurse is teaching an older adult about preventing scalp burns. What recommendation should be included?
Use sunscreen on the scalp daily
Wear hats when in the sun
Apply moisturizer to the scalp
Massage the scalp regularly
Which factor contributes to delayed wound healing in older adults besides reduced collagen?
Increased immune response
Enhanced circulation
Diminished sweat glands
Excessive protein stores
What should nurses teach patients about pore care to prevent skin trauma?
Use astringents daily
Squeeze pores to remove debris
Avoid squeezing pores
Apply hot compresses to open pores
Which area of the body does NOT have sebaceous glands?
Face
Scalp
Palms of hands
Upper chest
Why are older adults more susceptible to hypothermia?
Increased metabolic rate
Enhanced circulation
Thinning of subcutaneous fat layers
Overactive sweat glands
Which nursing intervention is CONTRAINDICATED for preventing pressure ulcers?
Gentle massage around pressure points
Vigorous massage directly on reddened areas
Keeping bed linens clean and dry
Moisturizing with cream
What is the primary reason subcutaneous medications absorb more slowly in older adults?
Increased blood flow to the area
Thicker epidermis
Decreased subcutaneous fat
Enhanced lymphatic drainage
