A client at the end of life has an antimuscarinic medication ordered for secretion management. When is the ideal time for the nurse administer this medication?
A) At the first sign of the death rattle
B) When the death rattle can be heard from several feet away
C) Before the death rattle occurs
D) If the death rattle upsets the family
A) At the first sign of the death rattle
Explanation: A) Because of the involvement of muscarinic receptors in the production of secretions, antimuscarinic medications are the drugs of choice for patients with the death rattle. These medications do not eliminate existing accumulated secretions, so they must be initiated at the first sign of the death rattle.
B) Because of the involvement of muscarinic receptors in the production of secretions, antimuscarinic medications are the drugs of choice for patients with the death rattle. These medications do not eliminate existing accumulated secretions, so they must be initiated at the first sign of the death rattle.
C) Because of the involvement of muscarinic receptors in the production of secretions, antimuscarinic medications are the drugs of choice for patients with the death rattle. These medications do not eliminate existing accumulated secretions, so they must be initiated at the first sign of the death rattle.
D) Because of the involvement of muscarinic receptors in the production of secretions, antimuscarinic medications are the drugs of choice for patients with the death rattle. These medications do not eliminate existing accumulated secretions, so they must be initiated at the first sign of the death rattle.
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