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A nurse is caring for a client who has gone into cardiac arrest. The client's chart indicates refusal of life-sustaining measures in a living will signed 10 years ago, but a do-not-resuscitate (DNR) prescription has not been written by the provider. Which of the following actions by the nurse is appropriate?

A.

Contact the provider for instructions regarding a DNR.

B.

Consult with the client's family regarding resuscitation efforts.

C.

Comply with the living will and let the client expire naturally.

D.

Call a code because a DNR prescription has not been written.

Answer and Explanation

The Correct Answer is D

A. Contacting the provider for instructions could delay immediate resuscitative efforts, which are required in the absence of a DNR order.  

 

B. Consulting with the client’s family may not be effective in an emergency, as the living will is a legal document, and family members cannot override it without a DNR order.  

 

C. Complying with the living will and letting the client expire naturally would be inappropriate without a formal DNR order in place.  

 

D. Calling a code is the correct action because, legally, resuscitative efforts must be initiated in the absence of a written DNR order from the provider, despite the existence of a living will.


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Explanation

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B. Insomnia, while impacting quality of life, is not as immediately life-threatening as aspiration risk.

C. Needing additional help to stand reflects disease progression but does not carry the immediate risk of a life-threatening complication.

D. Difficulty dressing also indicates disease progression but does not pose an immediate danger to the client’s health.

Correct Answer is A

Explanation

A. Morphine is classified as a Schedule II controlled substance due to its high potential for abuse and dependence, but it is accepted for medical use.

B. Schedule III substances have a lower potential for abuse than Schedule II, which does not apply to morphine.

C. Schedule I substances are considered to have no accepted medical use and a high potential for abuse, such as heroin, which does not include morphine.

D. Schedule IV substances have a lower abuse potential than Schedule III, making this classification incorrect for morphine.

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