A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

Have the client's partner sign a consent form to reverse the DNR prescription.

Begin chest compressions on the client.

Contact social services to confer with the client's partner.

Adhere to the client's treatment decision.

Answer and Explanation

The Correct Answer is D

A.   A DNR prescription is a legally binding document that reflects the client's wishes regarding resuscitation. The consent of the partner or any other individual cannot reverse or override this directive.
B.   Initiating chest compressions would be in violation of the DNR order. The DNR order indicates that the client does not want resuscitation efforts to be performed. Respecting the DNR order is crucial, as it reflects the client’s wishes regarding their end-of-life care.
C.   While involving social services may be appropriate to provide emotional support and address any family conflicts or concerns, it is not the immediate action needed in this critical situation. The immediate priority is to adhere to the DNR order, which is a legal directive that must be followed.
D.   The nurse must follow the DNR order, as it represents the client’s explicit wishes regarding their care
in the event of cardiac arrest. Adhering to the DNR is essential to respect the client’s autonomy and legal rights. The nurse should ensure that all actions are in compliance with the client’s documented wishes and provide support to the partner by explaining the situation and offering appropriate emotional support or referrals.

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Correct Answer is B

Explanation

A. While documenting the client's refusal is a crucial step, it should not be the first action. Documentation serves as a legal record of the client's refusal and the nurse's actions in response. However, it is important to first address the reasons behind the refusal and ensure the client has all necessary information before documenting the refusal.
B. It’s important for the nurse to ensure that the client understands the potential consequences of refusing the medication. This involves discussing the risks of not taking the medication and any potential impact on their health. This conversation can help the client make an informed decision and may resolve their concerns or objections.
C. Disposal of the medication is not appropriate until you have addressed the client's refusal and ensured that their decision is informed. The medication should not be disposed of without understanding why the client refused it and whether there are any other actions to be taken.
D. Informing the provider is an important step, but it should come after the nurse has ensured that the client understands the risks of not taking the medication and has attempted to address any concerns.
The provider may need to be informed of the refusal to discuss alternative options or to address any
issues related to the client’s refusal.

A. Contact a medical translator to serve as an interpreter. B. Have the provider speak loudly when communicating with the client. C. Request the client's family member to assist with translation. D. Ask the provider to sit to the side of the client.

Correct Answer is A

Explanation

A. For clients who use sign language, it is essential to use a qualified sign language interpreter to ensure accurate and clear communication. A medical translator who is proficient in sign language can facilitate communication between the client and the provider, ensuring that the client fully understands the information being presented and can provide informed consent.
B. Speaking loudly will not address the client’s need for sign language communication. Clients who use sign language cannot benefit from auditory communication, and speaking loudly does not substitute for sign language interpretation.
C. While family members may be familiar with sign language, they might not be trained in medical terminology and might not provide accurate or impartial information. Using a family member for translation can lead to potential conflicts of interest, inaccuracies, and privacy issues.
D. Sitting to the side of the client would not be effective for communication in sign language. It is important for the provider and the interpreter to be positioned in a way that allows the client to see both clearly, as sign language communication relies on visual cues.

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A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

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