A dying client cannot swallow and is accumulating audible mucus in the upper airway (death rattles). The nursing assistant reports that these noises are upsetting to family members. What does the nurse tell the assistant to do?

a. Assist the family in leaving the room so that they can compose themselves.
b. Place the client in a side-lying position so secretions can drain.
c. Position the client in a high-Fowler's position to minimize secretions.
d. Use a Yankauer suction tip to remove secretions from the client's upper airway.

The nurse instructs the nursing assistant to place the client in a side-lying position to facilitate drainage of secretions from the upper airway. This position helps prevent aspiration of mucus and allows gravity to assist in clearing the airway, reducing the accumulation of audible mucus or "death rattles."

By positioning the client appropriately, the nurse addresses the immediate issue of managing the distressing symptoms while promoting comfort for both the client and their family members.

Furthermore, placing the client in a side-lying position aligns with best practices for end-of-life care, focusing on maintaining comfort and dignity. It allows for easier suctioning if necessary while minimizing the risk of aspiration.

This approach considers the holistic needs of the dying client and their family, prioritizing symptom management and emotional support during this challenging time.

By following these guidelines, the nursing assistant can provide effective care and support to both the client and their family members, promoting a more peaceful and comfortable end-of-life experience.

Therefore option b is correct.