A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)

Sensation of being cold

Heightened sense of hearing

Difficulty swallowing

Tachycardia

Cheyne-Stokes respirations

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.

Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.

Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.

Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.

Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.

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Correct Answer is B

Explanation

Choice A reason: Hypoventilation is a late sign of hypoxemia and is characterized by an abnormally slow breathing rate, reducing oxygen intake and increasing carbon dioxide in the blood.

Choice B reason: Tachypnea, or rapid breathing, is an early sign of hypoxemia as the body attempts to increase oxygen levels by breathing more quickly.

Choice C reason: A nonproductive cough is not directly related to hypoxemia, which is a deficiency in the amount of oxygen reaching the tissues.

Choice D reason: Nasal stuffiness is not a specific indicator of hypoxemia and can be associated with various conditions.

A. "Children play alongside each other but do not interact." B. "Children exhibit organized play when in a group." C. "The child plays independently when in a group." D. "Children sit and observe others playing."

Correct Answer is A

Explanation

The correct answer is a. "Children play alongside each other but do not interact."

Choice A reason: Parallel play is characterized by children playing next to each other without engaging in direct interaction or cooperative play, which is typical behavior at certain developmental stages.

Choice B reason: Organized play involves interaction and cooperation, which is not characteristic of parallel play.

Choice C reason: While children may play independently in a group, this statement does not capture the essence of parallel play, which involves proximity without interaction.

Choice D reason: Observing others play is more indicative of onlooker behavior rather than parallel play.

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A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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