Crucial Exams

NCLEX RN Practice Question

An 82-year-old client who is unresponsive after a massive stroke is admitted from a nursing home. During hand-off, the nurse learns that the client has a signed living will declining intubation and tube feeding. Shortly after admission, the client's adult child says, "I want you to do whatever it takes, including a breathing machine, to keep my parent alive." Which action should the nurse take first to uphold ethical and legal standards of care?

  • Locate and review the client's advance directive and communicate the stated wishes to the interprofessional team.

  • Honor the child's request for full treatment until the primary provider writes new orders.

  • Activate the hospital ethics committee to decide the appropriate level of treatment before intervening.

  • Initiate intubation immediately and seek a court order to resolve the conflict later.

NCLEX RN
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