A nurse is teaching a group of assistive personnel about the expected Integumentary changes in older adult clients. Which of the following findings should the nurse include in the teaching?

Increase in subcutaneous tissue

Decrease in pigmentation

Increase in moisture levels

Decrease in elasticity

Answer and Explanation

The Correct Answer is D

A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.

B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.

C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.

D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.

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Correct Answer is B

Explanation

A. Ask the client to tilt their head back when swallowing. Tilting the head back increases the risk of aspiration by opening the airway. Instead, the "chin tuck" method is recommended.

B. Have the client sit upright for 1 hr following meals. Sitting upright for an extended period reduces the risk of aspiration by allowing gravity to assist in digestion.

C. Administer liquids to the client using a syringe. Using a syringe can increase the risk of aspiration and does not allow the client to control swallowing.

D. Allow the client to rest for 10 min prior to eating. While rest may help conserve energy, it is not a priority intervention for dysphagia management.

A. Provide the client with a referral to a support group. B. Encourage the client to view the body of their partner. C. Reinforce the need for the client to build new relationships. D. Encourage the client to share their thoughts and feelings.

Correct Answer is D

Explanation

A. Provide the client with a referral to a support group. Not the first priority; occurs later in the grieving process.

B. Encourage the client to view the body of their partner. Only appropriate if the client wants to do so.

C. Reinforce the need for the client to build new relationships. Insensitive and premature during initial grief.

D. Encourage the client to share their thoughts and feelings. Therapeutic communication is the first step in grief support, allowing the client to process emotions.

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A nurse is teaching a group of assistive personnel about the expected Integumentary changes in older adult clients. Which of the following findings should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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