When caring for a terminally ill client, the nurse determines that the client is nearing death because of what assessment findings?
1. Diarrhea.
2. Muscle spasms.
3. Slow, weak pulse.
4. Decreased blood pressure.
5. Cyanosis of the extremities.
Correct Answer: 3,4,5
Rationale 1: Diarrhea is not a clinical manifestation of impending death.
Rationale 2: Muscle spasms are not a clinical manifestation of impending death.
Rationale 3: A slow, weak pulse is a clinical manifestation of impending death.
Rationale 4: Decreased blood pressure is a clinical manifestation of impending death.
Rationale 5: Cyanosis of the extremities is a clinical manifestation of impending death.
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