Practice Question
A nurse enters a hospice patient's room to perform an assessment after receiving the morning report. The outgoing nurse reports that the patient is showing loss of appetite, swelling of the limbs, increased sleep, CheyneStokes respirations, and hallucinations. Which of the following indicates the nurse understands the report?
Answer Choices:
Correct Answer:
The nurse understands that these are impending signs of death and are normal
Rationale:
- In hospice care, symptoms such as loss of appetite, peripheral edema, increased sleep, Cheyne-Stokes respirations, and hallucinations are hallmark signs of impending death.
- These changes result from multisystem organ decline.
- Cheyne-Stokes breathing reflects irregular respiratory patterns caused by neurological dysregulation, while hallucinations are often due to metabolic shifts or hypoxia.
- These signs require comfort care, not emergency interventions.
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This question is from RN Nurs 200 Fundamentals Exam which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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