medium · NCLEX-RN management

The nurse is preparing to assist with neurologic determination of death in a 29-year-old client with severe traumatic brain injury.

Which finding must the nurse report as a contraindication to proceeding with the formal examination?

  1. PaCO2 of 42 mm Hg
  2. Serum sodium of 149 mEq/L with high urine output
  3. Blood glucose of 112 mg/dL
  4. Core temperature of 34.2°C (93.6°F)

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