The nurse is helping the family of a terminally ill child to fill out an advance directives form. Which options are usually determined by this document? Select all that apply
A) Withholding food
B) Withholding water
C) Withholding antibiotics
D) "Do not attempt resuscitate" (DNAR) orders
E) Withholding ventilation
F) Providing artificial nutrition
Ans: C, D, E, F
Advance directives determine the child's and family's wishes should life-sustaining care become necessary. After discussion with other family members, friends, and spiritual advisors, the parents may make the decision to forego life-sustaining medical treatment, either withdrawing treatment or deciding to withhold certain further treatment or opt not to resuscitate in the event of cardiopulmonary arrest. Food and water are not withheld; however, some children may not be able to drink or eat and artificial nutrition may be withheld.
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