The nurse is assessing the dying client. Which manifestations of a dying client should the nurse assess to determine whether the client is near death?
a. Level of consciousness
b. Respiratory rate
c. Bowel sounds
d. Pain level on a 0 to 10 scale
B
All of these assessments should be performed during the dying process. As the peripheral circu-lation decreases, the client's level of consciousness and bowel sounds decrease. The client is un-able to provide a numeric number on a pain scale. The nurse should continue to assess respiratory rate throughout the dying process. As the rate drops significantly and breathing becomes agonal, death is near.
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