The nurse is assessing an older adult client for trauma following a motor vehicle accident. Which special considerations does the nurse understand must be taken for this client?
A) The effects of blood loss may be delayed.
B) Age-related changes in cognition may increase the risk of delirium.
C) A narrowed tolerance for a change in blood volume may occur.
D) The description of the mechanism of injury may be delayed due to word finding difficulties.
C) A narrowed tolerance for a change in blood volume may occur.
Explanation: A) Older adults have a narrowed tolerance for alterations in blood volume and will demonstrate very different signs of hypovolemic shock from those of younger adults. The effects of blood loss are not delayed in an older adult client. Age-related changes to cognition and difficulties with word finding are not special considerations that typically must be taken when assessing an older adult for trauma after a motor vehicle accident.
B) Older adults have a narrowed tolerance for alterations in blood volume and will demonstrate very different signs of hypovolemic shock from those of younger adults. The effects of blood loss are not delayed in an older adult client. Age-related changes to cognition and difficulties with word finding are not special considerations that typically must be taken when assessing an older adult for trauma after a motor vehicle accident.
C) Older adults have a narrowed tolerance for alterations in blood volume and will demonstrate very different signs of hypovolemic shock from those of younger adults. The effects of blood loss are not delayed in an older adult client. Age-related changes to cognition and difficulties with word finding are not special considerations that typically must be taken when assessing an older adult for trauma after a motor vehicle accident.
D) Older adults have a narrowed tolerance for alterations in blood volume and will demonstrate very different signs of hypovolemic shock from those of younger adults. The effects of blood loss are not delayed in an older adult client. Age-related changes to cognition and difficulties with word finding are not special considerations that typically must be taken when assessing an older adult for trauma after a motor vehicle accident.
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