Which Assessment Findings Lead the Nurse to Inform the Family

Which assessment findings lead the nurse to inform the family that the patient's death is imminent?

A) The patient's pupils are fixed and dilated bilaterally.
B) The patient is lethargic,drifting in and out of consciousness.
C) The patient's breathing is harsh and congested with periods of apnea.
D) The patient had only 40 mL in the urinary catheter bag for the last 8 hours.
E) The patient's temperature is 102.6° F (39.2° C) but the hands and feet are cool and mottled.