A community health nurse is working with an 81-year-old female client who states that she has made a concerted effort throughout her life to protect her skin from the sun and regularly applies topical moisturizers
The client is lamenting the fact that her skin's appearance has nonetheless deteriorated in recent years. Which of the following statements best captures a fact that the nurse should take into consideration when crafting a response to the client?
A)
The epidermal layer of the skin inevitably thins as part of the normal aging process, lending a transparent appearance to the skin.
B)
Skin becomes weaker and less elastic in older adults because of the rearrangement of fibrin and keratin.
C)
Skin becomes more fragile and prone to hematomas because of impaired vascularity.
D)
Output of sebaceous glands declines, with accompanying reductions in sweat production.
Ans:
C
Feedback:
Impaired vascularity and cellularity cause the skin of older adults to be prone to subcutaneous bleeding, resulting in senile purpura. The dermal, rather than epidermal, layer becomes thinner, and weakness is a result of collagen rearrangement rather than fibrin. Sebaceous glands produce sebum not sweat.
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