Correct Answer: A,C

Rationale: Mottling of the skin especially in the lower extremities is a common sign of impending death. This is due to decreased blood flow and can be a sign that the body is starting to shut down. This statement is incorrect. As a person nears death their blood pressure typically decreases not increases. Cheyne-Stokes breathing which is characterized by a pattern of increasing and decreasing respiration with periods of apnea is a common symptom in the final stages of life. This statement is incorrect. As a person nears death their skin may become cool to the touch and may appear pale or mottled. Regular respiration is not typically a sign of impending death. In fact changes in breathing patterns such as Cheyne-Stokes breathing are more common.

Correct Answer: D

Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.

Correct Answer: A

Rationale: Locking the wheels on the patient's bed is a safety measure that should be taken to prevent the bed from moving during the transfer. Positioning the chair at a 90-degree angle to the bed could make the transfer more difficult. It's usually recommended to position the chair parallel to the bed. Elevating the patient's bed isn't typically necessary for a transfer and could potentially make the transfer more difficult. Placing the chair on the patient's left side the side of the patient's weakness could make the transfer more difficult. It's usually recommended to lead with the patient's stronger side.

Correct Answer: A

Rationale: Before repositioning a patient the nurse should first elevate the height of the patient's bed. This allows the nurse to work at a comfortable height and reduces the risk of injury. While tightening the abdominal muscles can help with lifting and moving it is not the first action the nurse should take when preparing to reposition a patient. Positioning the feet in line with the shoulders can provide a stable base of support when moving or lifting. However this is not the first action the nurse should take when preparing to reposition a patient. Pivoting the feet in the direction of the move can help with turning and moving. However this is not the first action the nurse should take when preparing to reposition a patient.

Correct Answer: A,C,D

Rationale: Slow capillary refill is a sign that the body is not circulating blood as effectively as it should be. This can be a sign that a person is actively dying. Ringing in the ears also known as tinnitus is not typically a sign that a person is actively dying. It can be caused by a variety of factors including exposure to loud noise certain medications and some health conditions. Cold hands and feet can be a sign that a person is actively dying. As the body's systems start to shut down blood flow to the extremities can decrease causing them to feel cold. Mottled and blotchy skin especially on the hands feet and knees can be a sign that a person is actively dying. This is caused by reduced blood flow to the skin.