A family requested a visit from a hospice nurse as they think the client appears to be nearing the end of life. The nurse assesses the client. Which of the following signs indicate that the client is near death?

Decreased muscle tone, relaxed jaw muscles, sagging mouth.

Urine output is clear yellow.

Altered breathing (apnea, labored or irregular breathing, Cheyne-Stokes pattern).

Congestion/increased pulmonary secretions; noisy respirations (death rattle).