HESI RN Fundamentals Exam 1

Extract:

Question 1 of 5

A 45-year-old client with breast cancer which has metastasized is receiving hospice care. The client is at home and the family is concerned about their loved one. The nurse assesses the client. Which of the following signs indicate that the client is near death?

A. Decreased muscle tone, relaxed jaw muscles, sagging mouth. B. Urine output is clear yellow. C. Altered breathing (apnea, labored or irregular breathing, Cheyne-Stokes pattern). D. Congestion/increased pulmonary secretions; noisy respirations (death rattle).

Correct Answer: A,C,D

Rationale: Muscle tone, breathing, and secretions indicate nearing death.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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HESI RN Fundamentals Exam 1 | Nurselytic

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