During a resuscitative effort for a critically ill patient, family members arrive and present an advance directive requesting no resuscitative measures. What is the appropriate action for the emergency nurse to take?
Continue resuscitation until the attending physician has reviewed and accepted the advance directive.
Initiate a reflective pause to allow family members to say goodbye before ceasing resuscitative efforts.
Immediately cease resuscitative efforts and honor the request in the advance directive after ensuring its validity.
Wait for confirmation from the hospital's legal department before making any changes to the resuscitation plan.
Upon presentation of a legally valid advance directive that indicates the patient's preference for no resuscitative measures, the healthcare team must comply with the patient's wishes and cease resuscitative efforts, assuming the document has been verified as current and valid. Initiating a reflective pause honors the patient and supports the family through the transition from active treatment to allowing natural death. Continuing resuscitation disregards the patient's legally stated wishes, and waiting for the attending physician may delay the fulfillment of the patient’s end-of-life preferences.
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