Fundamentals of Nursing Q 17

---

Which of the following symptoms is the best indicator of imminent death?

  

     A. A weak, slow pulse

     B. Increased muscle tone

     C. Fixed, dilated pupils

     D. Slow, shallow respirations

    

    

Correct Answer: C. Fixed, dilated pupils

---

Fixed, dilated pupils are a sign of imminent death. Death is a part of natural life; however, society is notorious for being uncomfortable with death and dying as a topic on the whole. Many caregivers experience a level of burden from their duties during end-of-life care. This burden is multi-faceted and may include performing medical tasks, communicating with providers, decision-making and possibly anticipating the grief of impending loss.

---

Option A: Pulse becomes weak but rapid. It is important to identify how to know death has occurred and to educate the family of a patient who may be actively dying. This is especially important if the patient is choosing to die at home.

Option B: Muscles become weak and atonic. It is imperative that patients and families have access to the care and support they require when entering a terminal phase of life. This phase is different for each patient, and the needs may differ for each patient and family, but it is vital for healthcare providers to provide care and support in a way that respects the patient’s dignity and autonomous wishes.

Option D: In the late stages, an altered respiratory pattern which can be periods of apnea alternated with hyperpnea or irregular breathing can be noticed.

---