# A client with a documented do-not-resuscitate order becomes pulseless. A family member says, "Do everything now." Which action should the nurse take?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397129&lang=en  
> language: en  
> subject: Advance Directives  
> category: MOC

## Question

A client with a documented do-not-resuscitate order becomes pulseless. A family member says, "Do everything now." Which action should the nurse take?

## Option

1. Begin chest compressions while contacting the provider.
2. Ask the family member to sign a new consent form.
3. Follow the valid do-not-resuscitate order and support the family. **✔ Correct answer**
4. Call security because the family is interfering with care.

**Correct answer: 3**

## Explanation

A valid do-not-resuscitate order directs the team not to start resuscitation when the client has no pulse or respirations. The nurse should honor the order while providing clear communication and emotional support. Family distress does not override the client's documented treatment decision.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits DNR order and family distress.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For DNR order and family distress, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Do-Not-Resuscitate Order** — A medical order not to initiate CPR when a client has cardiopulmonary arrest.
- **Advance Directive** — A document that communicates a client's preferences for future health care.
- **Client Rights** — Legal and ethical protections for the client's decisions and dignity.

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