Which of the following is NOT listed as a physiologic change that may accompany death?

• A. Cheyne-Stokes breathing pattern
• B. Anorexia and dehydration
• C. Increased skin turgor
• D. Terminal delirium

Answer: (C)

End-of-life physiologic changes typically involve alterations in respiration, intake, cognition, and skin perfusion. Cheyne-Stokes breathing is a recognizable pattern as the respiratory drive wanes and the body cycles between periods of breathing and apnea. Anorexia and dehydration reflect reduced intake and fluid shifts as organ systems fail. Terminal delirium can arise from metabolic changes, toxins, and neurochemical shifts near death.

Increased skin turgor is not a feature of dying. As dehydration and poor perfusion develop, skin turgor actually decreases, and the skin becomes less elastic and tents when lifted. So this option does not fit with the usual end-of-life changes, while the other listed signs are commonly observed.