The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. What changes should the nurse expect the client to exhibit?
Select all that apply.
A) Decreased blood pressure
B) Initial increased heart rate followed by bradycardia
C) An increase in the volume of Korotkoff's sounds
D) Diaphoresis
E) An increase in cardiac output
Answer: A, B, D
The heart rate might initially increase as hypoxia develops; then the heart rate and blood pressure decrease, resulting in decreased cardiac output. Peripheral circulation decreases, leading to diaphoresis; clammy, cool skin; and changes in skin coloring. A change in pulse pressure and a decrease in the volume of Korotkoff's sounds indicate imminent death. The heart rate and blood pressure decrease, resulting in decreased cardiac output, which is a sign of imminent death.
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