Which cardiovascular findings indicate to the nurse that the condition of the dying client is worsening?
A) Pulse 104 beats/minute in the morning, 62 beats/minute in the afternoon with mottled feet and ankles
B) Pulse 72 beats/minute, irregular; patient confused and agitated
C) Pulse 100 beats/minute, blood pressure 100/60 mm Hg, pale with poor skin turgor
D) Pulse 60 beats/minute, blood pressure 90/42 mm Hg, difficult to arouse
A
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Earlier, a client with failing cardiac function exhibits a higher pulse as the body attempts to circulate oxygen. Next, cardiac output is decreased due to ineffective filling of the chambers, impairing circulation, and diminishing the heart's own oxygen supply. The heart rate and blood pressure then decrease. Peripheral circulation is impaired with the feet and ankles becoming pale and mottled.
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