The hospice nurse is teaching the family of a terminally ill client the signs of approaching death, including Standard Text: Select all that apply

1. Loss of muscle tone
2. Bounding pulse
3. Decreased urinary output
4. Noisy respirations
5. Stable blood pressure


1,3,4
Rationale: Loss of muscle tone, including incontinence, constipation, nausea may be a sign of approaching death.

Nursing

You might also like to view...

What organs are considered accessory digestive organs because they add in the digestive process? (Select all that apply.)

A) The liver B) The pancreas C) The spleen D) The gallbladder E) The appendix

Nursing

The nurse instructs an older patient on ways to manage acute episodes of gout at home. Which patient statement indicates that teaching has been effective?

1. "Ice packs to the painful areas will be helpful." 2. "I will need to reduce my fluid intake to 2 L/day." 3. "I should eat liver at least one or two times per week to promote healing." 4. "Application of heat to my joints is recommended to manage the discomfort."

Nursing

A new-onset MI can be recognized by which of the following ECG changes?

a. Q waves b. Smaller R waves c. Widened QRS d. ST segment elevation

Nursing

Your client, a preschooler, is not achieving normal physical growth or accomplishing age-specific developmental tasks. Which of the following nursing diagnoses would be most appropriate?

1. Impaired parenting 2. Delayed growth and development 3. Altered health maintenance 4. Delayed childhood achievement

Nursing