1|Page
NUR 445 Exam 1 Questions and Answers with Complete
Solutions UPDATED!!!
early stage of death
acceptance that death is approaching
pt begins to w/d
loss of interest in social contacts
loss of appetite( decrease needs)
no hunger or thirst
sleeps more
decrease participation in activities
Middle stage of death
decline in mental status
pt will be confused/ disoriented
sleeping most of the time
decrease in body temperature and blood pressure
pulse is irregular
Repirations become labored and rapid
skin color begins to change as circulation diminished
speaks slow or ceases altogether
late stage: days or hours before death
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brief surge of energy in last effort at physical exertion and
expression
symptoms worsen
coma ensures
extremities cool and mottled
respirations are rapid and labored (cheyne-strokes
respirations)
unable to manage secretions - loss of swollow reflex
congestion in airways-repirations sound loud and wet
death follows
Med given for relieve pain, air hunger, decrease respirations,
restlessness? (struggling to breath)
Opioids (morphine)
why when a pt is dying he has gurgling sounds, death rattle/
wet sounds?
loss of ability to swallow
what would you give a dying pt is he is having respiratory issues
(dyspnea, tachypnea, upper air gurgle, accessory muscles for
breathing?
(dry up secretions)
NUR 445 Exam 1 Questions and Answers with Complete
Solutions UPDATED!!!
early stage of death
acceptance that death is approaching
pt begins to w/d
loss of interest in social contacts
loss of appetite( decrease needs)
no hunger or thirst
sleeps more
decrease participation in activities
Middle stage of death
decline in mental status
pt will be confused/ disoriented
sleeping most of the time
decrease in body temperature and blood pressure
pulse is irregular
Repirations become labored and rapid
skin color begins to change as circulation diminished
speaks slow or ceases altogether
late stage: days or hours before death
, 2|Page
brief surge of energy in last effort at physical exertion and
expression
symptoms worsen
coma ensures
extremities cool and mottled
respirations are rapid and labored (cheyne-strokes
respirations)
unable to manage secretions - loss of swollow reflex
congestion in airways-repirations sound loud and wet
death follows
Med given for relieve pain, air hunger, decrease respirations,
restlessness? (struggling to breath)
Opioids (morphine)
why when a pt is dying he has gurgling sounds, death rattle/
wet sounds?
loss of ability to swallow
what would you give a dying pt is he is having respiratory issues
(dyspnea, tachypnea, upper air gurgle, accessory muscles for
breathing?
(dry up secretions)
