Final answer:
Death rattle is a common symptom experienced by terminally ill clients, characterized by gurgling respirations caused by the accumulation of mucus in the airway. Nursing interventions for managing death rattle include repositioning, oral care, medication administration, and emotional support for both the client and their loved ones.
Step-by-step explanation:
A terminally ill client demonstrating gurgling respirations is experiencing a common symptom known as death rattle. Death rattle refers to the sound produced when there is an accumulation of mucus and secretions in the airway of a dying person. It is caused by the weakening of the muscles needed for normal breathing, leading to the inability to effectively clear secretions from the airway.
Death rattle is a distressing symptom but does not cause discomfort or pain to the person experiencing it. However, it can be distressing for family members and healthcare providers who are witnessing it. Nursing interventions for managing death rattle may include repositioning the client, performing oral care, providing medications such as anticholinergic drugs to reduce secretions, and facilitating communication and emotional support for both the client and their loved ones.
It is important for healthcare professionals to educate families and caregivers about death rattle and reassure them that it is a normal part of the dying process. Providing a calm and supportive environment can help alleviate their concerns and ensure appropriate end-of-life care.