Final answer:
If a registered nurse receives an order to perform an unsafe practice and the physician refuses to change the order, the nurse should consult the Chief Nursing Officer (CNO) next.
Step-by-step explanation:
If a registered nurse (RN) receives an order to perform an unsafe practice on a client and voices concern to the physician who gave the order, but the physician refuses to change the order, the nurse should consult the Chief Nursing Officer (CNO) next regarding the order. The CNO is responsible for overseeing nursing practices and can provide guidance and support in situations where an unsafe practice is being requested. They have the authority to intervene and escalate the issue if necessary.
In this case, the nurse should inform the CNO about the physician's refusal to change the order, providing all relevant information and documentation. The CNO can then take appropriate action to address the situation and ensure the safety and well-being of the client.