A patient with a traumatic brain injury is being evaluated for brain death. Which findings should the nurse expect in this patient?
Select all that apply.
1. absence of gag or corneal reflex
2. absence of oculovestibular reflex
3. apnea with PaCO2 of 66 mmHg
4. toxic metabolic disorders
5. response to deep stimuli
Correct Answer: 1,2,3
An absence of gag or corneal reflex, an absence of oculovestibular reflex, and apnea with PaCO2 of 66 mmHg are clinical signs consistent with brain death. Toxic metabolic disorders and responding to deep stimuli are not signs consistent with brain death.
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