The nurse is taking care of a child who is showing signs of imminent death. Which manifestations should the nurse expect to assess related to the cardiovascular system?

Question

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Cool and clammy skin, mottling are signs that the body is no longer perfusing adequately and can indicate impending death in a child. The cardiovascular system is failing and unable to maintain adequate blood flow to the skin.

Answer: C
 Peripheral pulses may remain even when the heart beat is not heard on auscultation due to decreased blood flow, but this is not necessarily a specific manifestation of imminent death in a child.

Options A and D are not accurate manifestations of imminent death in a child. An increase in the volume of Korotkoff sounds, as in option A, would indicate increased blood flow or hypertension, which is not a typical sign of imminent death. An increase in cardiac output, as in option D, would also not be expected as the cardiovascular system is failing and unable to maintain normal cardiac function.

The Nurse Is Taking Care of a Child Who Is