A client tells a nurse, "If something happens, I do not want to be placed on a ventilator or have CPR. The nurse messages the physician and requests a Do Not Resuscitate (DNR) order. The next day, the nurse discovers the physician did not write the DNR order then finds the client unconscious and pulseless. Which action should legally be taken by the nurse?
Move slowly to call a "Code Blue" because the client did not want resuscitation.
Immediately call the physician to obtain a DNR order.
Immediately begin resuscitation and activate the "Code Blue" team response,
Give resuscitation medications but do not initiate CPR.
The Correct Answer is C
Rationale:
A. Move slowly to call a "Code Blue" because the client did not want resuscitation: Delaying resuscitation could result in harm or death. Without a physician’s DNR order in place, the nurse is legally obligated to provide full life-saving interventions.
B. Immediately call the physician to obtain a DNR order: Waiting to contact the physician before initiating resuscitation may cause critical delay, placing the client at serious risk. Emergency action must not be postponed.
C. Immediately begin resuscitation and activate the "Code Blue" team response: In the absence of a valid, documented DNR order, the nurse must initiate all resuscitative measures. Legal and professional standards require immediate intervention to preserve life until a physician’s order is officially documented.
D. Give resuscitation medications but do not initiate CPR: Partial measures without full CPR are not legally or clinically appropriate. All standard resuscitation protocols must be followed unless a valid DNR order exists.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Informatics: Informatics involves the use of technology, including computers and electronic resources, to access, manage, and apply information in healthcare. Researching scholarly articles online to guide orthopedic care exemplifies the application of informatics.
B. Rights of conscience: Rights of conscience relate to ethical or moral beliefs that allow healthcare providers to act according to personal values. This is not related to using technology for research.
C. Teamwork: Teamwork involves collaboration among healthcare professionals to provide safe and effective care. While research may support teamwork, the act of independently searching for information is not itself teamwork.
D. Ethnocentrism: Ethnocentrism is the belief that one’s own culture or values are superior to others. Using a computer to research evidence-based care does not reflect ethnocentric behavior.
Correct Answer is ["A","B","D","E","F"]
Explanation
Rationale:
A. Direction: Direction refers to providing clear instructions and expectations when delegating a task. Ensuring the delegate understands what, how, and when to perform the task is a critical right in safe delegation.
B. Supervision: Supervision involves monitoring and evaluating the delegated task to ensure it is performed correctly and safely. It is an essential aspect of accountability in the delegation process.
C. Cost-effectiveness: Cost-effectiveness is not one of the accepted rights of delegation. Delegation focuses on safety, competence, and appropriateness of care rather than financial considerations.
D. Circumstance: Circumstance refers to considering the client’s condition, complexity of care, and available resources when deciding whether to delegate a task. It ensures tasks are delegated safely and appropriately.
E. Person: The right “person” involves delegating tasks to the appropriate staff member who is competent and qualified to perform the activity. This protects patient safety and ensures tasks are done correctly.
F. Task: The right “task” ensures that only tasks within the scope of practice and competence of the delegate are assigned. Selecting appropriate tasks is essential to safe and effective delegation.
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