A nurse is caring for a client who in the end of life dying…
Questions
A nurse is cаring fоr а client whо in the end оf life dying process. Current Dаta Vital Signs 1200 Temperature 34.7* C (94.5* F) Heart Rate 25/minute Respiratory rate irregular with Cheyne-Stokes respiration Blood pressure 52/38 mmHg Nurses' Notes 0800 Client does not arouse to verbal, tactile, or painful stimulation. Heart rate 35/min, irregular. Pulses to extremities nonpalpable, skin cool to touch with pallor and mottling. Cheyne-stokes breathing, noisy respirations with copious secretions. Indwelling urinary catheter in place, 10mL dark amber urine output. Decreased muscle tone noted. Client moaning. Medicated with morphine 4mg IV bolus. Client has a do-not-resuscitate order in place. Family at bedside. Update on client's condition provided. What sign/symptom indicates death is nearing? Fill in blank one with using this Wordbank: Moaning, StrongPulses, IncreasedUrine or CheyneStokes _______ Which of the following is a clinical confirmation of death? Fill in blank two using this Wordbank: ActiveReflexes, FlatBrainWaves, SlowBreathing or PainResponses _______