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    Hesi compass B exit proctored exam

    A older adult male who is admitted with end-stage chronic obstructive pulmonary disease (COPD) tells the nurse that his family wants CPR to be provided if the need arises. The client provides the nurse with a living will and an advance directive that specifies do not resuscitate (DNR). Which action should the nurse implement?

    Explanation & Rationale

    A. Obtaining a prescription for DNR is correct because, in most healthcare settings, a provider’s written order is required to honor an advance directive in the medical record. This ensures the client’s legal and documented wishes are followed. B. Informing the family of the client’s wishes is appropriate but not the first priority; the legal order must be secured to ensure proper care. C. Asking the client why he made this choice is unnecessary unless clarification is needed; the client’s wishes are already documented in legal form. D. Requesting clergy consultation may be supportive but is not relevant to the immediate legal and clinical steps required to implement the DNR.

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