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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Documenting a client's refusal to take prescribed medication is an important aspect of client advocacy. It respects the client’s right to refuse treatment and ensures that their decision is clearly recorded in their medical record.
B. Obtaining an interpreter for a client who speaks a different language is a key example of client advocacy. It ensures that the client can understand and participate in their own care, which is essential for informed consent and effective communication.
C. Providing written information about palliative care supports client advocacy by ensuring that the client is informed about their care options. This helps the client make informed decisions about their care, which is a crucial aspect of advocacy.
D. Implementing a plan of care based on nursing goals is part of routine nursing practice but does not directly reflect client advocacy unless those goals are specifically aligned with the client's preferences and needs.
E. Initiating IV access on a client who has dementia while they are sleeping does not exemplify client advocacy. Informed consent and respect for the client’s comfort and awareness are crucial, especially for clients with cognitive impairments.
Correct Answer is D
Explanation
A. While completing an incident report is important for documenting the event, the witness should not instruct the newly licensed nurse to do so. Instead, it is the responsibility of the observer (the witness nurse) to report the incident to the appropriate authority to ensure that it is addressed properly.
B. Documenting the incident in the client's medical record is not appropriate in this case. The client’s medical record should only contain information relevant to the client’s care and treatment, not details about medication errors or policy violations.
C. While transparency is important, directly informing the client about a medication error is not typically the responsibility of the witnessing nurse. The primary focus should be on addressing the immediate issue and ensuring it is reported to the appropriate authorities rather than discussing the incident with the client.
D. The nurse manager is responsible for overseeing the unit and addressing incidents such as medication errors. Reporting the incident to the nurse manager ensures that it is investigated according to facility protocols.
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