A client in hospice care develops audible gurgling sounds on inspiration. What is the most appropriate statement to relay to the family?

• A. Inform the family that death is imminent
• B. Recommend transferring the client to a hospital
• C. Advise the family that the client will recover
• D. Encourage the family to leave the room

Answer: (A)

Audible gurgling during breathing in a person receiving hospice care is a common sign that the dying process is near. Explaining to the family that death is imminent provides honest, compassionate information that helps them understand what’s happening and prepare emotionally and practically for what comes next. This statement reinforces a focus on comfort and support rather than pursuing further treatment, which is appropriate in hospice. The sound reflects natural changes from weakened swallowing and relaxed throat muscles, not a sign of suffering that can be treated right away. Other options aren’t align with hospice goals: death is not a moment for expecting recovery, hospital transfer isn’t typically the aim, and telling them to leave the room isn’t supportive or necessary.