A nurse is assessing a patient who is terminally ill for clinical signs of impending death. What should the nurse expect when assessing the patient's respirations?
a. Deep, clear breath sounds
b. Noisy, wet-sounding respirations
c. Even, unlabored respirations
d. Shallow, clear breath sounds
B
Breathing may sound wet and noisy. Noisy, wet-sounding respirations, termed the death rattle, are a response based on mouth breathing and accumulation of mucus in the upper airways.
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The nurse is auscultating the heart of a client with pericarditis. In this client, S1 and S2 heart sounds can be described as:
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