The nurse is taking care of a child who is showing signs of imminent death. What changes should the nurse expect to see related to the cardiovascular system?
1. An increase in the volume of Korotkoff's sounds
2. Mottling, cool and clammy skin
3. Peripheral pulses will remain when the heart beat is not heard on auscultation.
4. Increase in cardiac output
2
Rationale 1: A change in pulse pressure and a decrease in the volume of Korotkoff's sounds indicate imminent death.
Rationale 2: Peripheral circulation decreases, leading to diaphoresis, clammy and cool skin, and changes in skin coloring such as mottling or cyanosis.
Rationale 3: The heart rate might initially increase as hypoxia develops, then the heart rate and blood pressure decrease, resulting in decreased cardiac output.
Rationale 4: The heart rate and blood pressure decrease, resulting in decreased cardiac output, which is a sign of imminent death.
Global Rationale:
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