A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning?
A) By avoiding the use of moisturizing lotions on older adults' skin
B) By protecting older adults against shearing injuries
C) By avoiding the use of ice packs to treat muscle pain
D) By protecting older adults against excessive sweat accumulation
Ans: B
Feedback:
Cellular changes associated with aging include thinning at the junction of the dermis and epidermis, which creates a risk for shearing injuries. Moisturizing lotions can be safely used to address the increased dryness of older adults' skin. Ice packs can be used, provided skin is assessed regularly and the patient possesses normal sensation. Older adults perspire much less than younger adults, thus sweat accumulation is rarely an issue.
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