Which of the following aspects of the integumentary system would a gerontological nurse expect to increase, rather than decrease, with the age of clients?
A) Pigmentation
B) Dermal thickness
C) Coarseness of collagen
D) Size of hair bulbs
C
Feedback:
The coarseness of collagen increases with age, whereas pigmentation, dermal thickness, and the size of hair blubs tend to diminish. Loss of elasticity in skin is caused by a loss of collagen and elastin.
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When performing an intradermal injection, the nurse instills a small amount of substance into the dermis and the injection is not aspirated. One of the uses of this technique is screening for:
a. diabetes. b. tuberculosis. c. hepatitis. d. meningitis.
Prolonged bed rest puts the older adult at risk for
a. ankylosing spondylitis. b. pathological fractures. c. osteomyelitis. d. gout.
The family of an older patient with dysphagia comes to the skilled nursing facility at mealtimes to feed the patient. Which of the family's feeding practices should the nurse follow up with teaching or correction?
A) The family makes sure that the patient does not talk while eating B) The family checks for pocketing of food prior to introducing another bite C) The family places the patient in high Fowler position during and after feeding D) The family introduces large pieces of food to prevent accidental inhalation of small food particles
When asthma is suspected, which of the following is NOT useful in making a diagnosis?
A. Decreased FEV1/FVC ratio B. Decreased FEV1 C. Some reversibility with administration of bronchodilator D. Peak flow meter reading