A patient has terminal lung cancer and is unconscious. Which of the following assessments indicates to the nurse that the patient's death is imminent?
A) Mottling to the lower limbs
B) Slow, steady pulse
C) Shallow breathing
D) Increased swallowing
Ans: A
Feedback: The time of death is generally preceded by a period of gradual diminishment of bodily functions in which increasing intervals between respirations, weakened and irregular pulse, and skin color changes or mottling may be observed. The patient will not be able to swallow secretions, so suctioning, frequent and gentle mouth care, and possibly administering a transdermal anticholinergic drug are indicated.
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