CNOR Operating Room Nursing

Category - Intraoperative

Which of the following are changes associated with aging that put the elderly patient at higher risk during surgery?
  1. Slow infusion of intravenous anesthesia may lead to pulmonary edema.
  2. More anesthesia is needed and it wears off more quickly.
  3. Decreased cough reflex increases risk of pneumonia.
  4. Poor kidney function results in larger amounts of urine output.
Explanation
Answer: C-The elderly patient is at higher risk during surgery because a decreased cough reflex increases the risk of pneumonia. The action of the cilia, the tiny structures that help to expel mucous, may be diminished. The patient may be unable to cough properly or effectively, potentially leading to a buildup of mucous that can lead to atelectasis.
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