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

"Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider" (Option A): While discussing end-of-life wishes with family and healthcare providers is important, this response does not directly address the ethical issue at hand. It may be appropriate to encourage open communication and advance care planning, but administering a deliberate overdose is not ethically permissible.

"Let me have a while to consider your request" (Option B): Delaying a response to the patient's request for deliberate overdose could potentially lead to confusion and distress for the patient. Additionally, this response does not address the ethical concerns raised by the request.

"I cannot ethically give you a deliberate overdose" (Option C): This response aligns with the ethical principle of nonmaleficence, which obligates healthcare providers to avoid causing harm to patients. Administering a deliberate overdose to hasten death would violate this principle and go against the nurse's ethical obligations.

"I can contact the primary care provider and request an order for a drug that could be used as you request" (Option D): This response suggests a willingness to facilitate the patient's request for deliberate overdose, which is not ethically permissible. Administering a drug with the intention of ending a patient's life is contrary to the ethical principles of beneficence and nonmaleficence.

A. bargaining. B. acceptance. C. depression. D. yearning.

Correct Answer is B

Explanation

A. Bargaining: Bargaining is a stage in Kübler-Ross's model where the patient may attempt to negotiate with a higher power or medical professionals to change their fate. An increase in daily function is not typically associated with this stage.
B. Acceptance: In Kübler-Ross's model of the stages of grief, acceptance is the final stage. It is characterized by the patient coming to terms with their diagnosis and prognosis. When a terminal patient demonstrates an increase in the level of daily function, it can indicate that they have reached a state of acceptance. This means they have acknowledged their situation and are finding ways to live their life as fully as possible, despite their illness.

C. Depression: Depression is another stage in Kübler-Ross's model where the patient experiences feelings of sadness, hopelessness, and despair. While depression may occur at any point during the grieving process, an increase in daily function suggests movement beyond this stage.

D. Yearning: Yearning, also known as the stage of "pain and guilt" in Kübler-Ross's model, involves feelings of longing for what was lost or what cannot be. It is characterized by emotional distress and a desire to return to a previous state. An increase in daily function is not indicative of this stage.

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Breathing called the death rattle is characterized by

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

Correct Answer is C

Explanation

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

Correct Answer is B

Explanation

The focus on quality of life issues is best implemented by:

A terminally ill patient is experiencing a great deal of dyspnea and noisy, "rattling" rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

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When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

When a patient admitted for terminal care is asked by the admitting nurse, "What has your doctor told you about your illness?" the patient states, "She says that I have a terminal illness, but I know she’s wrong." The nurse recognizes that: