The nurse is taking care of a child who is showing signs of imminent death. What changes should the nurse expect to see with the cardiovascular system?
1. Peripheral circulation increases.
2. A increase in the volume of Korotkoff's sounds
3. The heart rate might initially increase as hypoxia develops.
4. Increase in cardiac output
3
Rationale:
1. Peripheral circulation decreases, leading to diaphoresis; clammy, cool skink; and changes in skin coloring.
2. A change in pulse pressure and a decrease in the volume of Korotkoff's sounds indicate imminent death.
3. The heart rate might initially increase as hypoxia develops, then the heart rate and blood pressure decrease, resulting in decreased cardiac output.
4. The heart rate and blood pressure decrease, resulting in decreased cardiac output, which is a sign of imminent death.
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