The nurse is caring for four clients on the intermediate care unit and plans emergency care for the clients. Which client is unsuitable for cardiopulmonary resuscitation (CPR)?
1. An 88-year-old client with end-stage lung disease
2. The client with valid prescription for no-code status
3. Client specifies not to perform chest compressions
4. Client's family does not want the client resuscitated
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2. The client who has a valid prescription to withhold client resuscitation from the provider or according to agency policy should not receive CPR if the client stops breathing, the heart stops beating, or the client cannot maintain an airway. The nurse communicates the client's directive to withhold resuscitative measures to the entire nursing staff because inadvertent CPR can result in legal liability.
1. Unless the client specifies that CPR be to be withheld, the nurse must institute re-suscitative measures as the need arises despite a grim diagnosis or advanced age. The nurse also avoids responding to this client's code slowly because a slow code does not exist.
3. A client who specifies no chest compressions allows the nurse to provide an airway and breathing, so the nurse implements resuscitative measures except for chest compressions.
4. Unless the client is incompetent, the family cannot decide the client's code status because it violates the client's right to self-determination and to refuse treatment.
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