The nurse is assessing a client who is near death. Which of the following findings would indicate to the nurse that the client is in the actively dying phase?

Restlessness

Decreased appetite

Skin pallor

Anuria

Answer and Explanation

The Correct Answer is D

A. Restlessness: This may occur in the pre-active phase of dying but is not specific to the actively dying phase.

B. Decreased appetite: A reduced appetite is common earlier in the dying process, not specific to the actively dying phase.

C. Skin pallor: Skin changes, such as pallor, occur earlier; mottling is more indicative of the actively dying phase.

D. Anuria: Anuria (absence of urine output) is a hallmark sign of multisystem failure and the actively dying phase.

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Correct Answer is B

Explanation

A. Have you had any immunizations recently?: Immunizations are not associated with a significant risk of infectious endocarditis.

B. Have you had any dental work done recently?: Dental procedures can introduce bacteria into the bloodstream, posing a risk for endocarditis, especially in clients with prosthetic valves.

C. Do you have a family history of endocarditis?: Endocarditis is not typically hereditary; risk factors are more related to procedures, infections, or valve abnormalities.

D. Have you ever suffered a heart attack?: While a history of a heart attack is relevant to cardiac health, it does not directly increase the risk for infectious endocarditis.

A. Junctional tachycardia B. Sinus tachycardia C. Atrial flutter D. Ventricular fibrillation

Correct Answer is B

Explanation

A. Junctional tachycardia: Junctional tachycardia originates from the atrioventricular (AV) node, with a faster rate and usually no visible P waves preceding the QRS complexes.

B. Sinus tachycardia: Sinus tachycardia is characterized by a regular, rapid heart rhythm originating from the sinus node, typically seen after exercise, with identifiable P waves before each QRS complex.

C. Atrial flutter: Atrial flutter presents with a “sawtooth” pattern of P waves, indicating rapid atrial contractions, which is different from sinus tachycardia.

D. Ventricular fibrillation: Ventricular fibrillation is a chaotic and irregular rhythm originating from the ventricles, which is a life-threatening condition.

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The nurse is assessing a client who is near death. Which of the following findings would indicate to the nurse that the client is in the actively dying phase?

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Naxlex Comprehensive Predictor Exams

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