While working on the orthopedic unit, the nurse finds an assigned client pulseless and not breathing. When the code team responds, which action by the nurse is appropriate?
1. Leaving the room and calling the family members to notify them of the sudden change in the client's condition
2. Getting the crash cart and emergency supplies that will be needed by the code team
3. Participating in the code in whatever role is necessary
4. Standing at the bedside and answering questions as they arise
3
Rationale 1: The assigned nurse should not leave the room.
Rationale 2: Someone else can obtain the crash cart.
Rationale 3: Although the nurse assigned to the client needs to remain in the room and be available to provide a summary of the client's condition, the nurse can take a role as the medication nurse or perform CPR.
Rationale 4: The nurse can do more than answer questions.
Global Rationale: Although the nurse assigned to the client needs to remain in the room and be available to provide a summary of the client's condition, the nurse can take a role as the medication nurse or perform CPR. The assigned nurse should not leave the room, and should have someone else, such as the chaplain or social worker, call the family and obtain the crash cart. The nurse can do more than answer questions.
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