A nurse is assessing a patient who is in the active stage of dying.
What are the signs and symptoms of impending death? (Select all that apply)

Mottling of the skin in the lower extremities

Increased blood pressure

Cheyne-Stokes breathing

Warm, dry, and pink skin

Regular respiration

Answer and Explanation

Correct Answer : A,C

Choice A rationale
Mottling of the skin, especially in the lower extremities, is a common sign of impending death. This is due to decreased blood flow and can be a sign that the body is starting to shut down.
Choice B rationale
This statement is incorrect. As a person nears death, their blood pressure typically decreases, not increases.
Choice C rationale
Cheyne-Stokes breathing, which is characterized by a pattern of increasing and decreasing respiration with periods of apnea, is a common symptom in the final stages of life.
Choice D rationale
This statement is incorrect. As a person nears death, their skin may become cool to the touch and may appear pale or mottled.
Choice E rationale
Regular respiration is not typically a sign of impending death. In fact, changes in breathing patterns, such as Cheyne-Stokes breathing, are more common.

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Correct Answer is A

Explanation

Step 1 is to calculate the rate of fluid replacement. The formula for this is: Rate (mL/hr) = Total volume (mL) ÷ Time (hr) So, for this question: Rate (mL/hr) = 1000 mL ÷ 10 hr = 100 mL/hr.

A. I should try to eat my food either very warm or very cold. B. I will have to start chewing on my unaffected side. C. I should rinse my mouth if tooth brushing is too painful. D. I will wash my face with cotton pads. E. I will wash my face with cotton pads.

Correct Answer is A

Explanation

Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

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A nurse is assessing a patient who is in the active stage of dying. What are the signs and symptoms of impending death? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump, what is the rate that the nurse should enter?

Correct Answer is A

Explanation

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

Correct Answer is A

Explanation

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A nurse is assessing a patient who is in the active stage of dying. What are the signs and symptoms of impending death? (Select all that apply)

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A nurse is assessing a patient who is in the active stage of dying.
What are the signs and symptoms of impending death? (Select all that apply)