A patient with a documented Do Not Resuscitate (DNR) order suddenly develops pulseless ventricular tachycardia. Which intervention by the nurse is most appropriate?

Offer to call the chaplain to the bedside. The patient has an active DNR and is in a cardiac rhythm that is not compatible with life. Asking the patient’s family if they would like the presence of a chaplain is an appropriate intervention as the patient is actively dying. Administering resuscitation medications is not appropriate for a patient with an active DNR. Starting CPR is not appropriate for a patient with an active DNR. Asking family if they would like to rescind the DNR and go against the patient’s wishes is not representing the patient and is not ethical. If the family would like to rescind the DNR they may do so, but should not be encouraged to do so.

A patient with a documented Do Not Resuscitate (DNR) order sudden...

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Management of Care
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Category: Management of Care
Difficulty: 2

Topics: End of Life Issues Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

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