College

A nurse enters a patient's room and finds the client pulseless. The living will requests no resuscitation be performed, but the provider has not written the prescription. What action should the nurse take?

a. Initiate cardiopulmonary resuscitation (CPR) immediately
b. Wait for a family member to arrive before taking any action
c. Contact the provider to obtain a prescription for resuscitation
d. Honor the living will directive and withhold resuscitation efforts

Answer :

Final answer:

The correct answer is option D. The nurse should honor the living will directive and withhold resuscitation efforts if a pulseless patient has a living will requesting no resuscitation and no contrary provider prescription exists.

Explanation:

If a nurse finds a patient pulseless and the patient has a living will that requests no resuscitation, but there is no written prescription by the provider, the nurse should honor the living will directive and withhold resuscitation efforts (d. Honor the living will directive and withhold resuscitation efforts).

Living wills are legal documents that clearly state a person's wishes regarding medical interventions and include Do Not Resuscitate (DNR) orders, which instruct medical personnel not to perform life-saving measures like CPR if the patient's heart stops beating.

Unless there is a clear evidence of the patient's wishes being revoked or updated, medical professionals are ethically and legally bound to respect the existing directives of the patient's living will.