Final answer:
The use of ANH in patients with DNR status is not contraindicated but should align with the patient's wishes and medical indications. DNR status does not automatically preclude ANH initiation or continuation, and decisions around it should consider the patient's goals of care and autonomy.
Correct option is B
Step-by-step explanation:
The use of artificial nutrition and hydration (ANH) in patients with a Do Not Resuscitate (DNR) status can be complex and varies depending on individual circumstances. It is not accurate to say that DNR is a contraindication to ANH. In fact, a DNR status simply indicates that a person does not want to have cardiopulmonary resuscitation (CPR) if their heart stops beating or they stop breathing.
Decision-making regarding ANH should be guided by the patient's wishes, medical indications, ethical considerations, and sometimes state laws. Therefore, if there are clear indications and it aligns with the known or inferred wishes of the patient, ANH may be initiated or continued regardless of DNR status. If all parties agree that ANH is no longer serving the desired goals of care, it may be ethically permissible to withhold or withdraw ANH, even if the patient has a DNR order. These decisions should be part of a broader conversation about the goals of care and patient autonomy.