The nurse is caring for a patient who is being evaluated clinically for brain death by a physician. Which assessment findings by the nurse support brain death?
a. Absence of a corneal reflex
b. Unequal, reactive pupils
c. Withdrawal from painful stimuli
d. Core temperature of 100.8° F
A
Absence of a corneal reflex indicates altered brainstem activity and is a component used in the clinical evaluation of brain death. Reactive pupils, withdrawal reaction to painful stimuli, and the ability to maintain core temperature indicate brainstem activity.
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10 t = __________
Fill in the blank(s) with correct word
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A postoperative patient has a nursing diagnosis of ineffective airway clearance. The nurse determines that interventions for this nursing diagnosis have been successful if which is observed?
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