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 A

Explanation

Choice A reason: Albuterol is a short-acting beta-2 agonist that is used as a quick-relief medication to prevent exercise-induced bronchoconstriction.

Choice B reason: Prednisone is a corticosteroid used for long-term control, not for immediate relief before exercise.

Choice C reason: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not typically for immediate pre-exercise use.

Choice D reason: Fluticasone/salmeterol is a combination of a corticosteroid and a long-acting beta-2 agonist, used for long-term control, not for quick relief before exercise.

A. Hyperventilation B. Increased blood pressure C. Decreased PaCO2 D. Unconsciousness

Correct Answer is D

Explanation

Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.

Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.

Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.

Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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