A nurse is planning care for a client who has lung cancer and who requests a do-not-resuscitate (DNR) prescription. Which of the following actions should the nurse take?
Discuss the client's wishes with the interprofessional team.
Request a provider's prescription to discontinue chemotherapy.
Counsel the client to postpone the DNR prescription
Verify that the family agrees with the client's DNR request.
The Correct Answer is A
Rationale:
A. Discuss the client's wishes with the interprofessional team is the correct action. The nurse’s role is to advocate for the client by ensuring the healthcare team is aware of the client’s preferences for end-of-life care. Collaboration ensures that the DNR order is implemented appropriately and respected across all care settings.
B. Requesting a provider's prescription to discontinue chemotherapy is not directly related to a DNR order. A DNR only addresses resuscitation efforts in the event of cardiac or respiratory arrest, not ongoing treatment decisions like chemotherapy.
C. Counseling the client to postpone the DNR prescription would violate the client’s autonomy. Clients have the right to make informed decisions about their own care, including the choice to implement a DNR.
D. Verifying that the family agrees with the client’s DNR request is not required. A DNR decision is the client’s legal right, and the nurse should respect the client’s wishes even if the family disagrees, provided the client is competent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Toxoplasmosis is typically not a nationally notifiable disease in most states unless it is part of a specific outbreak or associated with congenital infections. Routine cases are generally managed by the healthcare provider and reported at the local level if required.
B. Candida infections are usually common and opportunistic, not reportable to the CDC unless part of an outbreak investigation.
C. Systemic lupus erythematosus (SLE) is an autoimmune condition and not considered a reportable disease. Reporting is not required for routine surveillance.
D. Lyme disease is a nationally notifiable disease. The CDC requires reporting of confirmed and probable cases to monitor epidemiological trends, identify outbreaks, and implement public health interventions. Reporting helps track geographic distribution and incidence of tick-borne illnesses.
Correct Answer is A
Explanation
Rationale:
A. The nurse should recognize that informed consent must be voluntary and based on understanding. If the client expresses doubt or uncertainty, the nurse should ensure the client knows they have the right to withdraw consent at any time, even after signing the form. This response supports the client’s autonomy and is consistent with ethical and legal standards in healthcare.
B. Providing resources can help inform the client but does not address the immediate concern that the client is unsure. The priority is to acknowledge their uncertainty and involve the provider in re-discussing options if needed.
C. Telling the client they should not have signed the consent form is judgmental and dismissive, which may increase anxiety and undermine trust. It does not support client autonomy or informed decision-making.
D. Requesting medication to help the client relax addresses anxiety but does not resolve the underlying issue of informed consent. Sedation cannot substitute for informed, voluntary consent and may be ethically and legally inappropriate.
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