Chapter 17: Care of Aging Skin and Mucous
Membranes
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The admitting nurse gives the new long-term care facility resident a score of 20 on the
Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident
has which risk for pressure injury?
a. A high probability of developing a pressure injury
b. A moderate risk of developing a pressure injury
c. A low risk of developing a pressure injury
d. At least one pressure injury at the time of admission
ANS: C
Scores of 20 on the Braden Scale indicate a very low probability of developing a
pressure injury.
PTS: 1 DIF: 6 REF: pp. 292-293 | Table 17.3
OBJ: 2 TOP: Braden Skin Assessment Tool
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort NOT:
Applying
2. On the admission assessment of an 80-year-old to a long-term care facility, the nurse
notes that the resident’s toenails are dark, thick, and brittle; extremely misshapen; and
, growing at an angle from the toe. Which disorder does the nurse suspect has caused the
changes in the nails?
a. Fungal infection of the nails
b. Ram’s horn nails
c. Ingrown nails
d. Expected age-related changes in the nails
ANS: A
Fungal nail infections cause nails to be dark, brittle, and misshapen. The nails grow at
odd angles from the toes because they are lifted from the nail bed by the infection.
PTS: 1 DIF: 5 REF: p. 291 OBJ: 1
TOP: Fungal Infection of Toenails KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Applying
3. An 80-year-old woman reports pruritus from dry skin. Which bathing schedule would be
appropriate for the patient?
a. A hot shower every night before going to bed
b. A cool shower every morning using a detergent soap
c. A soak in a warm sudsy bath, leaving a film of soap on the skin
d. One shower a week, with sponge baths in between
ANS: D
A weekly shower with sponge baths in between provides adequate cleanliness and
decreases dryness. Soap should be completely rinsed off. Hot showers and detergent
soaps dry the skin.
PTS: 1 DIF: 5 REF: p. 294 OBJ: 3
TOP: Bathing KEY: Nursing Process Step: Planning
, MSC: NCLEX: Physiological Integrity: Basic Care and Comfort NOT:
Applying
4. Which position would be most appropriate to reduce pressure injuries in an immobile
patient?
a. Directly on the side, with the trochanter bearing the weight
b. Supine, with the sacrum and iliac crest bearing the weight
c. In a semi-Fowler position, with the sacrum and ischium bearing the weight
d. In a lateral position, with the body rotated 30 degrees with gluteus bearing the
weight
ANS: D
The 30-degree lateral position places weight on the gluteus muscle, avoiding weight-
bearing on bony prominences such as the trochanter, sacrum, and ischium.
PTS: 1 DIF: 5 REF: p. 295 OBJ: 3
TOP: Positioning KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance NOT: Applying
5. The long-term care facility nurse requests a dental consult to treat gingivitis in a resident.
If left untreated, which problem can gingivitis ultimately cause?
a. Receding gums
b. Tooth loss
c. Bleeding
d. Halitosis
ANS: B
The bleeding, swelling, and receding gums of gingivitis ultimately lead to tooth loss.
PTS: 1 DIF: 3 REF: p. 301 OBJ: 2
TOP: Gingivitis KEY: Nursing Process Step: Implementation
Membranes
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The admitting nurse gives the new long-term care facility resident a score of 20 on the
Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident
has which risk for pressure injury?
a. A high probability of developing a pressure injury
b. A moderate risk of developing a pressure injury
c. A low risk of developing a pressure injury
d. At least one pressure injury at the time of admission
ANS: C
Scores of 20 on the Braden Scale indicate a very low probability of developing a
pressure injury.
PTS: 1 DIF: 6 REF: pp. 292-293 | Table 17.3
OBJ: 2 TOP: Braden Skin Assessment Tool
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort NOT:
Applying
2. On the admission assessment of an 80-year-old to a long-term care facility, the nurse
notes that the resident’s toenails are dark, thick, and brittle; extremely misshapen; and
, growing at an angle from the toe. Which disorder does the nurse suspect has caused the
changes in the nails?
a. Fungal infection of the nails
b. Ram’s horn nails
c. Ingrown nails
d. Expected age-related changes in the nails
ANS: A
Fungal nail infections cause nails to be dark, brittle, and misshapen. The nails grow at
odd angles from the toes because they are lifted from the nail bed by the infection.
PTS: 1 DIF: 5 REF: p. 291 OBJ: 1
TOP: Fungal Infection of Toenails KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation NOT:
Applying
3. An 80-year-old woman reports pruritus from dry skin. Which bathing schedule would be
appropriate for the patient?
a. A hot shower every night before going to bed
b. A cool shower every morning using a detergent soap
c. A soak in a warm sudsy bath, leaving a film of soap on the skin
d. One shower a week, with sponge baths in between
ANS: D
A weekly shower with sponge baths in between provides adequate cleanliness and
decreases dryness. Soap should be completely rinsed off. Hot showers and detergent
soaps dry the skin.
PTS: 1 DIF: 5 REF: p. 294 OBJ: 3
TOP: Bathing KEY: Nursing Process Step: Planning
, MSC: NCLEX: Physiological Integrity: Basic Care and Comfort NOT:
Applying
4. Which position would be most appropriate to reduce pressure injuries in an immobile
patient?
a. Directly on the side, with the trochanter bearing the weight
b. Supine, with the sacrum and iliac crest bearing the weight
c. In a semi-Fowler position, with the sacrum and ischium bearing the weight
d. In a lateral position, with the body rotated 30 degrees with gluteus bearing the
weight
ANS: D
The 30-degree lateral position places weight on the gluteus muscle, avoiding weight-
bearing on bony prominences such as the trochanter, sacrum, and ischium.
PTS: 1 DIF: 5 REF: p. 295 OBJ: 3
TOP: Positioning KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance NOT: Applying
5. The long-term care facility nurse requests a dental consult to treat gingivitis in a resident.
If left untreated, which problem can gingivitis ultimately cause?
a. Receding gums
b. Tooth loss
c. Bleeding
d. Halitosis
ANS: B
The bleeding, swelling, and receding gums of gingivitis ultimately lead to tooth loss.
PTS: 1 DIF: 3 REF: p. 301 OBJ: 2
TOP: Gingivitis KEY: Nursing Process Step: Implementation
