Which of the following is an important consideration about the skin of an older adult person?
Skin becomes more vulnerable to sun damage
Sweat gland activity increases
Skin becomes darker in unexposed areas
Generous amounts of soap should be used for cleansing
The Correct Answer is A
Choice A reason: Skin becomes more vulnerable to sun damage is true because as the skin ages, it loses its elasticity and ability to repair itself from the harmful effects of ultraviolet (UV) radiation. Sun damage can cause wrinkles, age spots, and skin cancer. The nurse would advise the older adult person to protect their skin from the sun by wearing sunscreen, hats, and clothing that covers the skin.
Choice B reason: Sweat gland activity increases is false because as the skin ages, it produces less sweat and oil, which can make the skin dry and prone to itching. The nurse would advise the older adult person to moisturize their skin regularly and avoid hot showers or baths that can dry out the skin.
Choice C reason: Skin becomes darker in unexposed areas is false because as the skin ages, it produces less melanin, the pigment that gives the skin its color. This can make the skin lighter and more sensitive to sunburn. The nurse would advise the older adult person to check their skin for any changes in color, shape, or size of moles or spots that could indicate skin cancer.
Choice D reason: Generous amounts of soap should be used for cleansing is false because as the skin ages, it becomes thinner and more fragile, and can be irritated by harsh chemicals or fragrances. The nurse would advise the older adult person to use mild, unscented soap and water for cleansing, and to pat the skin dry gently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A: Increase in physical activity
Physical activity can strengthen the muscles that help control urination. Exercises such as Kegels can specifically target these muscles, leading to improvements in urinary incontinence.
Choice B: Blood sugar control
While blood sugar control is important for overall health and can prevent complications from diabetes, it is not directly associated with improvements in urinary incontinence.
Choice C: Smoking cessation
Smoking can lead to coughing which puts pressure on the bladder and can exacerbate symptoms of urinary incontinence. Therefore, smoking cessation can lead to improvements.
Choice D: Weight reduction
Excess weight can put pressure on the bladder and surrounding muscles. Losing weight can reduce this pressure and improve symptoms of urinary incontinence.
There is no Choice E in this case. Each of these interventions can contribute to overall health and may indirectly affect urinary incontinence, but Choices A, C, and D are the most directly related to improvements in this condition.
Correct Answer is B
Explanation
Choice A reason: Over-the-counter NSAIDs are generally harmless is not a true statement, as NSAIDs can cause serious adverse effects in older adults, such as gastrointestinal bleeding, renal impairment, hypertension, and heart failure. NSAIDs should be used with caution and under medical supervision in older adults.
Choice B reason: Stool softeners and laxatives should be used with opioids is a true statement, as opioids can cause constipation in older adults, which can lead to discomfort, abdominal pain, fecal impaction, and bowel obstruction. Stool softeners and laxatives can help prevent and treat constipation and promote regular bowel movements.
Choice C reason: Opioids are less effective in older clients than in younger clients is not a true statement, as opioids can have the same or even greater analgesic effect in older adults, depending on the dose, route, and duration of administration. However, opioids can also cause more side effects in older adults, such as sedation, confusion, respiratory depression, and falls. Opioids should be used with caution and under medical supervision in older adults.
Choice D reason: The dose limit for acetaminophen is difficult to reach for older adults is not a true statement, as older adults may be more susceptible to acetaminophen toxicity, especially if they have liver disease, malnutrition, or chronic alcohol use. The dose limit for acetaminophen is 4 grams per day for adults, but it may be lower for older adults or those with risk factors. Acetaminophen should be used with caution and under medical supervision in older adults.
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