Certified Wound Ostomy Nurse (CWON) Practice Test

What does an increased capillary fragility in older adults contribute to?

1. Fewer bruises

2. Improved skin repair

3. Increased risk of bruising

4. Greater skin elasticity

The correct answer is: Increased risk of bruising

Increased capillary fragility in older adults contributes to an increased risk of bruising because the blood vessels become more susceptible to damage. As people age, their skin and underlying tissues undergo changes that can weaken the structural integrity of capillaries, making them more likely to rupture with minimal trauma. This fragility means that even normal daily activities can result in bleeding beneath the skin, leading to the formation of bruises. The other options reflect outcomes that are not consistent with increased capillary fragility. For example, fewer bruises would be expected if capillaries were robust and capable of withstanding stress, while greater skin elasticity and improved skin repair suggest healthier tissues with intact vascular support. Therefore, the correct choice accurately reflects the consequences of compromised capillary structure in older adults.