NCLEX-PN® ExaminationSafety and Infection ControlEasy
An LPN is reviewing a client's chart and notes a 'Do Not Resuscitate' (DNR) order. The client suddenly experiences cardiac arrest. What is the LPN's most appropriate action?
- AAssess the client's wishes again by asking the family present.
- BCall a 'Code Blue' and begin chest compressions.
- CInitiate cardiopulmonary resuscitation (CPR) immediately.
- DNotify the registered nurse (RN) and respect the DNR order.
Show answer & explanationAnswer & explanation
Correct answer: D. Notify the registered nurse (RN) and respect the DNR order.
A valid DNR order means that no resuscitative measures, including CPR, should be initiated. The LPN's role is to respect this order and notify the appropriate personnel (RN, physician) about the client's condition and the existing DNR status.
Why the other options are wrong
- A. While client wishes are paramount, a valid, current DNR order reflects those wishes. Family should not be asked to re-confirm in an emergency, as this creates undue stress and delays appropriate action (or lack thereof).
- B. Calling a 'Code Blue' and initiating compressions would violate the DNR order.
- C. Initiating CPR would violate the valid DNR order.
Do Not Resuscitate (DNR) Order
A medical order indicating that healthcare providers should not perform cardiopulmonary resuscitation (CPR) if a client's heart or breathing stops.
- Must be a valid, written order signed by a physician.
- Reflects the client's wishes for end-of-life care.
- Healthcare providers are legally and ethically bound to follow DNR orders.
- Does not mean 'do not treat' other conditions or provide comfort care.
Memory trick: DNR: Don't Resuscitate, Respect Their Fate!