Safe, Effective Care Environment
5. A client is admitted with an existing advance directive that states "Do Not Resuscitate" (DNR). The client goes into cardiac arrest. How should a nurse respond?
Safe, Effective Care Environment
5. A client is admitted with an existing advance directive that states "Do Not Resuscitate" (DNR). The client goes into cardiac arrest. How should a nurse respond?
. Do not resuscitate the client as detailed in the advance directive.
. If the client is admitted to the hospital, a new advance directive is needed; therefore, resuscitate the client.
. Start chest compressions, but do not intubate.
. Intubate only to secure an airway.
Test-Taking Tip
The stem and correct option includes the same phrase—do not resuscitate. Know the legality of the advance directive.
Content Area: Management of Care, Legal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Advance Directives
Safe, Effective Care Environment
.
Answer 1 is correct because the advance directive is an expression of the client's wishes. Answer 2 is incorrect because, as long as the advance directive is current, it covers this admission. Answer 3 is incorrect because the client's wishes are clear—do not resuscitate. Answer 4 is incorrect because no action is to be taken if the client has a DNR.