Which concept should the nurse consider when planning care for an older adult trauma patient?
A) Traumatic injuries should be treated independent of comorbid conditions.
B) An older adult may be on an anticoagulant for atrial fibrillation or stroke.
C) Comorbidities are independent risk factors for mortality in the older adult trauma patient.
D) A history of hypertension can prevent shock.
B) An older adult may be on an anticoagulant for atrial fibrillation or stroke.
Explanation: A) Older adults usually have more comorbid conditions that must be treated concurrently with the traumatic injuries, but preexisting comorbidities are not considered independent risk factors for mortality of the geriatric trauma patient.
B) Anticoagulants are frequently prescribed to older adults for atrial fibrillation and after cerebral vascular attacks. Treatment with anticoagulants complicates injuries by increasing bleeding time and leading to more blood loss than would occur in a non-anticoagulated patient.
C) Older adults usually have more comorbid conditions that must be treated concurrently with the traumatic injuries, but preexisting comorbidities are not considered independent risk factors for mortality of the geriatric trauma patient.
D) Being hypertensive at baseline may cause the patient to have "normal" vital signs even in the setting of severe shock.
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