An older patient is being prepared for orthopedic surgery. For what potential risk should the nurse plan care?
1. decreased tolerance of general anesthesia
2. prolonged effects of anesthesia because of herbal supplements
3. wound dehiscence
4. decreased cognitive acuity
Correct Answer: 1
Older adults have age-related changes that affect physiologic, cognitive, and psychosocial responses to the stress of surgery in addition to decreased tolerance of general anesthesia and postoperative medications and delayed wound healing. No information is provided to indicate the use of herbal supplements. Despite delayed wound healing, there is no information to support the increased risk for wound dehiscence. Cognition remains stable in older adults, but information processing slows.
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