Reduction of Risk PotentialQuestion 290 of 2368

The nurse is caring for a client who is actively dying. Which finding should the nurse report to the provider?

  1. Mottled extremities
  2. Cool, clammy skin
  3. Diminished peripheral pulses
  4. Bladder distention from urinary retention
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Correct answer: Bladder distention from urinary retention

Cool clammy skin, mottling, and diminished pulses are expected with declining circulation. Urinary retention causing bladder distention is unexpected and should be reported.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Grief and Loss: Objective Assessment. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026