A Terminally Ill Patient Is Unconscious

A terminally ill patient is unconscious. Which nursing assessment findings would the nurse evaluate as possible pain responses?. Select all that apply.

A) The patient's breathing pattern changes.
B) The patient becomes diaphoretic.
C) It is unlikely that the unconscious patient will experience pain.
D) Agitation will begin or will increase.
E) Facial grimacing will occur with movement.