MEDizzy
MEDizzy
USMLE
Physiological Adaption
The nursing home nurse finds a 92-year-old client on the floor during rounds. The client is not responsive. Vital signs have been taken by the certified nursing assistant: blood pressure 98/52, heart rate 120, respirations 28, and oxygen saturation 94%. The client has a history of falls, hypertension, and an extensive cardiac history. The client’s chart indicates a signed physician order that states “Do not resuscitate” and “Do not intubate” (DNR/DNI). Which of the following should the nurse do?
Explanation
ExplanationThe nurse should have another staff member call 911, gather paperwork, and contact the primary physician to notify of the transfer while the nurse stays with the client to continue to assess for any change in condition.
USMLE
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