Breathing called the death rattle is characterized by

Pooling of secretions

Shallow breathing

Tachypnea

Apnea

Answer and Explanation

The Correct Answer is A

A. Pooling of secretions: The term "death rattle" refers to the sound produced by the pooling of secretions in the throat or airway of a dying person. This accumulation of fluids creates a rattling or gurgling sound during breathing, which is characteristic of the death rattle.

B. Shallow breathing: Shallow breathing refers to breathing that is not deep or full. While shallow breathing may occur in dying individuals, it is not specific to the death rattle.

C. Tachypnea: Tachypnea refers to rapid or fast breathing. While tachypnea may occur in various medical conditions, it is not specific to the death rattle.

D. Apnea: Apnea refers to the cessation or absence of breathing. While apnea may occur in the dying process, it is not specific to the death rattle, which is characterized by the presence of breathing accompanied by the rattling sound caused by secretions.

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Correct Answer is C

Explanation

A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.

B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.

C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.

D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.

A. "l am hoping this will help relieve my discomfort." B. "This is not working, and plan to stop treatment." C. "This is making me stronger every day." D. "l am thinking of getting a second opinion."

Correct Answer is A

Explanation

A. "I am hoping this will help relieve my discomfort": This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. By expressing hope for relief from discomfort, the client demonstrates acceptance of the prognosis and is aligning with the goals of palliative care.

B. "This is not working, and I plan to stop treatment" : This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. The client may still be seeking alternative treatments or may not fully understand the terminal nature of their condition.

C. "This is making me stronger every day": This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. It does not address the client's understanding of their condition or prognosis.

D. "I am thinking of getting a second opinion": This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan. While seeking a second opinion is a valid decision, it does not necessarily reflect acceptance of the prognosis. It suggests a desire for further information or clarification rather than a recognition of the terminal nature of the illness.

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Breathing called the death rattle is characterized by

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Naxlex Comprehensive Predictor Exams

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Correct Answer is C

Explanation

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is A

Explanation

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