A terminally ill client is demonstrating gurgling respirations. The nurse realizes that this client is:
1. Improving.
2. Experiencing pain.
3. Trying to talk.
4. Nearing death.
Correct Answer: 4
Rationale 1: The death rattle does not mean the client is improving.
Rationale 2: The death rattle does not mean that the client is experiencing pain.
Rationale 3: The death rattle does not mean that the client is trying to talk.
Rationale 4: A clinical manifestation of impending death is noisy breathing. This is often referred to as the death rattle, and is due to collecting of mucus in the throat.
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