Which observation is a sign of the active dying phase?
Explanation
Active dying signs include mottling (livedo reticularis from poor perfusion) starting in feet and progressing upward, cool/cyanotic extremities, decreased urine output, decreased LOC, Cheyne-Stokes respirations, 'death rattle' (oral secretions), and sometimes terminal restlessness. These are expected and the CNA's role is comfort care: repositioning gently, mouth care for dryness, clean linens, calm environment, and family presence. Improving signs (a, b, d) are not features of active dying. 42 CFR §483.25(k) addresses end-of-life care.
Law Reference: 42 CFR §483.25(k)This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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