A client has a signed do-not-resuscitate order in the chart. A family member tells the nurse, "Do everything if the heart stops." What is the nurse's best response?

The nurse must honor the valid documented order while communicating family concerns to the provider and care team. Family distress should be addressed respectfully, but it does not automatically revoke the client's documented directive. Removing orders or promising contrary action is unsafe.

In-depth explanation

<span class='merci-scenario-label'>Clinical Judgment</span><br>Use the client cues, timing, labs, and safety risks to select the response that best fits Advance directive conflict.<br><br><span class='merci-scenario-label'>Memory Tip</span><br>Match the strongest cue cluster to the safest nursing judgment.<br><br><span class='merci-scenario-label'>KR vs US</span><br>NCLEX items reward cue-based priority thinking rather than isolated recall.

Clinical scenario

<span class='merci-scenario-label'>Clinical Practice Guide</span><br>For Advance directive conflict, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.<br><br><span class='merci-scenario-label'>Caution</span><br>Do not choose an action from one isolated cue when the full scenario changes priority or safety.

Key concepts

• Advance Directive — A document describing a person's preferences for health care if they cannot decide later.
• Do-Not-Resuscitate Order — A medical order indicating that CPR should not be initiated if cardiac or respiratory arrest occurs.
• Client Advocacy — Nursing action that protects the client's rights, preferences, and safety.