Editing Anatomy and Physiology – LPN Practice Questions (section)

==Question 14==
A licensed practical nurse is assisting an older adult with morning care. Which age-related change should the nurse keep in mind when providing skin care?
# The skin becomes thicker and more elastic with age.
# Reduced subcutaneous fat and thinner skin increase the risk of skin tears and pressure injury.
# Sweat production increases, so more frequent bathing is required.
# Skin turgor checked on the back of the hand is the most accurate hydration measure in older adults.

'''Answer:''' 2 (B). Reduced subcutaneous fat and thinner skin increase the risk of skin tears and pressure injury.

''Rationale:'' With aging, the epidermis thins, collagen and elastin decrease, and subcutaneous fat is lost, so the skin tears easily and has less padding over bony prominences. The nurse uses gentle handling, avoids friction and shearing during transfers, applies moisturizer, and avoids adhesive tape when possible. Option 1 is the opposite of what occurs. Option 3 is incorrect because sweat and oil gland activity decrease with age, so frequent bathing with hot water and harsh soap dries the skin further. Option 4 is incorrect because reduced elasticity makes hand turgor unreliable in older adults; the sternum or forehead is a better site.