A nurse is caring for a client who has a do-not-resuscitate (DNR) prescription. The client experiences cardiac arrest, and another nurse starts CPR. Which of the following actions should the nurse caring for the client take?
Continue CPR until the provider arrives.
Notify the ethics committee for immediate assistance.
Contact the family to determine what they would like to have done.
Stop the CPR and inform the nurse of the client's advance directives.
The Correct Answer is D
Choice A reason: Continuing CPR until the provider arrives disregards the client’s DNR order. This violates the client’s autonomy and legal rights.
Choice B reason: Notifying the ethics committee is not an immediate action. Ethics committees provide guidance in complex cases but are not involved in urgent bedside decisions.
Choice C reason: Contacting the family to determine what they would like done is inappropriate. The client’s advance directive takes precedence over family wishes.
Choice D reason: Stopping CPR and informing the nurse of the client’s advance directives is correct. A DNR order legally and ethically directs healthcare providers to withhold resuscitation. Respecting this ensures the client’s wishes are honored and prevents unnecessary interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Streptococcal pharyngitis requires droplet precautions because it spreads via large respiratory droplets, not contact.
Choice B reason: Scarlet fever also requires droplet precautions due to respiratory transmission.
Choice C reason: Measles requires airborne precautions, not contact precautions, because of its ability to remain suspended in the air.
Choice D reason: Varicella-zoster (shingles) requires contact precautions because the virus can spread through direct contact with lesions. In disseminated cases, airborne precautions may also be required, but contact precautions are essential for localized infections.
Correct Answer is A
Explanation
Choice A reason: Hospice care focuses on improving quality of life through palliative care, emphasizing comfort, dignity, and symptom management rather than curative treatment. This is the central philosophy of hospice.
Choice B reason: Hospice care does not guarantee 24-hour in-home care. Services are provided intermittently, with family and caregivers playing a major role.
Choice C reason: Hospice care is not intended to postpone death. It acknowledges the natural process of dying and provides support during this stage.
Choice D reason: Hospice care coordinates services through the hospice team, not solely through the family. Families are supported, but professional coordination is central.
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