17. Which conditions increase the risk of the older adult client developing a decubitus ulcer? Select all that apply.
Test-Taking Tip
Choose the options that directly affect skin integrity.
Content Area: Geriatrics, Integumentary; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
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Answer 1 is incorrect because osteoarthritis does not predispose a client to decubitus ulcer or skin breakdown. The client would need to be immobilized by the arthritis. Answer 2 is correct because impaired circulation will lead to skin breakdown and a decubitus ulcer. Answer 3 is correct because incontinence will cause skin breakdown and a decubitus ulcer. Answer 4 is correct because malnutrition will impair skin integrity leading to breakdown and decubiti. Answer 5 is incorrect because years of sun exposure causes the appearance of the skin to age, but the integrity of the skin is affected by circulation, moisture, and malnutrition.