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    RN Comprehensive Predictor 2026 Proctored Exam V2

    A nurse is caring for a client who is being treated for acute opioid toxicity. The client has a do-not-resuscitate (DNR) prescription, but the family would like to remove it. Which of the following responses should the nurse make?

    Explanation & Rationale

    A DNR is based on the client's own autonomous decision and advance directive. Family members do not have the authority to override or cancel a competent client's DNR — the decision belongs to the client. Only the client themselves (if competent) or their legally designated healthcare proxy can revoke a DNR. The nurse must advocate for the client's documented wishes. Suggesting that the provider or care team change the DNR based on family request violates the client's autonomy.

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