medium · NCLEX-RN Management of Care
The charge nurse in the neurological intensive care unit is dividing care responsibilities for a client who is being evaluated for neurologic determination of death (brain death). The client is currently hemodynamically stable on a mechanical ventilator.
Which clinical responsibility must the registered nurse (RN) retain?
- Transporting a labeled arterial blood gas specimen immediately to the laboratory tube system, for this client.
- Obtaining a baseline 12-lead electrocardiogram (ECG) using the bedside machine.
- Recording the exact hourly urine output from the client's indwelling urinary catheter, for this client.
- Assessing the client for the bilateral absence of pupillary, corneal, oculovestibular, and gag reflexes.
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