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Daily #48 · Geriatrics / Aging · Archive

NCLEX-RN® question of the day

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The question

A nurse is reviewing the chart of an 82-year-old patient admitted for a hip fracture. The nurse notes that the patient has thin, fragile skin and a history of prolonged immobility. Which explanation best describes why older adults have an increased risk for tissue damage from pressure?

  1. The subcutaneous layer thickens with age, compressing blood vessels and reducing blood flow to the dermis.
  2. Epidermal cell maturation is delayed in older adults, and circulation and collagen formation are impaired, reducing elasticity and resistance to pressure.
  3. Older adults experience overhydration of skin cells, which weakens the dermal layer and increases susceptibility to pressure injuries.
  4. Older adults produce excess collagen, which causes the skin to become too rigid and prone to cracking.

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