Practice Quiz

NCLEX-RN

Category - Safety

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A nurse is preparing to receive a 41-year-old liver cirrhosis client from the ICU. The client has a DNR/DNI order in his chart. Before the last hour of the nurse’s shift, the nurse notes diminishing blood pressure, slow and weak pulse, and rapid breathing. In a few minutes, a medical resident is calling a code on this client and performing chest compression. What is the nurse’s best response at this time?
  1. Refer to the client’s chart on the limitations of DNR order.
  2. Update the client’s relatives about the client’s condition and ask for permission to intubate.
  3. Interrupt the medical resident; inform him that there is a DNR order in the chart.
  4. Prepare for intubation and other rescue drugs.
Explanation
Answer: C - The nurse should immediately inform the medical resident about the DNR/DNI order. Option A is incorrect; the DNR order usually refers to chest compression and respiratory resuscitation. Asking the relatives for permission to intubate is inappropriate and unethical; the DNR/DNI is a legal document and stands on its own.
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