A terminally ill client is demonstrating gurgling respirations. The nu

A terminally ill client is demonstrating gurgling respirations. The nurse realizes that this client is

1. improving.
2. experiencing pain.
3. trying to talk.
4. nearing death.

ANSWER

Correct Answer: 4
Rationale 1: The death rattle does not mean the client is improving.
Rationale 2: The death rattle does not mean that the client is experiencing pain.
Rationale 3: The death rattle does not mean that the client is trying to talk.
Rationale 4: A clinical manifestation of impending death is noisy breathing. This is often referred to as the death rattle, and is due to collecting of mucus in the throat.