The client appears to be very close to death. The nurse would anticipate which of the following physical symptoms to be associated with impending death? Select all that apply. One, some, or all options may be correct.

Requests for a full meal

Restlessness

Non-labored breathing

Confusion

Cheyne-Stokes respirations

Answer and Explanation

Correct Answer : B,C,E

A. Requests for a full meal: Appetite commonly decreases as death approaches, so requesting a full meal is not a typical sign of impending death.

B. Restlessness: Restlessness and agitation are common near the end of life and can reflect hypoxia, metabolic changes, or medication effects.

C. Non-labored breathing: Breathing pattern often becomes irregular or altered (e.g., noisy, shallow, or periodic); a completely non-labored, normal pattern is not a hallmark of imminent death.

D. Confusion: Confusion, decreased awareness, or disorientation frequently occur as physiologic systems fail and perfusion/oxygenation decline.

E. Cheyne–Stokes respirations: Cycles of increasing and decreasing respirations with periods of apnea (Cheyne–Stokes) are classic respiratory changes associated with impending death.

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Correct Answer is B

Explanation

A. Improved muscle tone: Immobility leads to muscle disuse and atrophy with decreased strength and tone rather than improvement.

B. A decrease in peristalsis: Reduced activity slows gastrointestinal motility, increasing the risk of constipation and ileus; this is a known complication of immobility.

C. Increased number of bowel movements: Immobility most often causes decreased bowel movements (constipation), not an increase.

D. Increased blood pressure: Prolonged bed rest more commonly causes orthostatic intolerance and potential drops in blood pressure when upright; sustained elevation in blood pressure is not a typical immediate consequence of short-term immobility.

A. Potassium, vancomycin, insulin, and furosemide. B. Opioid and non-opioid pain medications C. Potassium, insulins, opioids, chemotherapeutics, and heparin. D. Antibiotics, antifungals, antianginals, and anticoagulants.

Correct Answer is C

Explanation

A. Potassium, vancomycin, insulin, and furosemide: Potassium and insulin are high-risk, but vancomycin and furosemide are not classified as standard high-alert meds by ISMP.

B. Opioid and non-opioid pain medications: Opioids are high-risk, but non-opioid pain meds (like acetaminophen) are not considered high-alert.

C. Potassium, insulins, opioids, chemotherapeutics, and heparin:. These are classic high-alert medications due to their high potential for harm if used incorrectly.

D. Antibiotics, antifungals, antianginals, and anticoagulants: While anticoagulants (like heparin, warfarin) are high-risk, the rest are not universally classified as high-alert.

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The client appears to be very close to death. The nurse would anticipate which of the following physical symptoms to be associated with impending death? Select all that apply. One, some, or all options may be correct.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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