At the time of death, which finding is the nurse most likely to assess?
A) Lack of heartbeat
B) Body temperature same as room temperature
C) Rigor mortis
D) Livor mortis
A) Lack of heartbeat
Explanation: A) Signs of somatic death include fixed and dilated pupils; cessation of heartbeat, respiration, movement, and reflexes; and relaxation of muscles and sphincters.
B) Algor mortis is the drop in body temperature that begins immediately after death and is due to cessation of heat producing metabolic reactions and regulation of body temperature. Body temperature continues to decline until it reaches that of the environment within about 24 hours after death.
C) Rigor mortis is the stiffening of body muscles that begins within 2-3 hours after death.
D) When the heart is no longer pumping blood throughout the body, blood settles in the dependent parts of the body, resulting in a purple-red discoloration of those areas called livor mortis. While livor mortis occurs soon after death, it is not present at the time of death.
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