Aclient is in a persistent vegetative state. the client has no immediate family and is a ward of the state. under these circumstances, who will speak on this client's behalf?

The decision to withdraw treatment is not a decision to withdraw care.  Comforting the patient's family does not become the primary role for the nurse. The nurse must continue to give sensitive care and comfortable measures even though life-sustaining treatment has been terminated.  

when you breathe in, or inhale, your diaphragm contracts (tightens) and moves downward. this increases the space in your chest cavity, into which your lungs expand. the intercostal muscles between your ribs also enlarge the chest cavity. they contract to pull your rib cage both upward and outward when you inhale.