A patient has a poor prognosis after being involved in a motor vehicle accident resulting in a head injury
As the patient's ICP increases and condition worsens, the nurse knows to assess for indications of approaching death. These indications include which of the following?
A) Hemiplegia
B) Dry mucous membranes
C) Signs of internal bleeding
D) Loss of brain stem reflexes
Ans: D
Feedback:
Loss of brain stem reflexes, including pupillary, corneal, gag, and swallowing reflexes, is an ominous sign of approaching death. Dry mucous membranes, hemiplegia, and bleeding must be promptly addressed, but none of these is a common sign of impending death.
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