Editing Management of Care – LPN Practice Questions (section)

==Question 9==
A licensed practical nurse enters the room of a client who has a valid do-not-resuscitate order and finds the client apneic and pulseless. Which action should the LPN take?
# Begin cardiopulmonary resuscitation and call for help.
# Withhold resuscitation, remain with the client, and notify the registered nurse and the provider.
# Activate the code blue team while waiting for the registered nurse.
# Ask the family at the bedside whether resuscitation should be started.

'''Answer:''' 2. Withhold resuscitation, remain with the client, and notify the registered nurse and the provider.

''Rationale:'' A do-not-resuscitate order is a valid provider order directing that cardiopulmonary resuscitation not be performed, and initiating resuscitation against it disregards the client's documented wishes. The nurse remains with the client, provides dignity and presence, supports the family, notifies the registered nurse and provider, and documents the findings and the time. Options 1 and 3 violate the order. Option 4 places an already-made decision back onto a grieving family in the moment of death.