Final answer:
In the case of a DNR patient with labored breathing while using a non-rebreather oxygen mask, the nurse should ensure that the DNR order is followed while assessing the patient's comfort and checking that the mask is functioning properly, without attempting resuscitation.
Step-by-step explanation:
If a do not resuscitate (DNR) patient is using a non-rebreather oxygen mask and appears to have labored breathing, the nurse's first response should not be an attempt to resuscitate the patient. The appropriate response would be to assess the patient's condition to ensure that the current medical interventions align with the patient's DNR status and care plan. This includes checking if the non-rebreather mask is properly placed and functioning, assessing the patient's overall comfort, and making sure that other non-invasive comfort measures are provided.
The nurse should remember to respect the patient's wishes as outlined in the DNR order while also ensuring the provision of compassionate and appropriate care. It is also important to communicate with the patient if they are conscious, or with the family or healthcare proxy if the patient cannot communicate, regarding the patient's condition and the steps being taken in line with the DNR order.
Situations such as these highlight the importance of clear communication among medical staff and between staff and the patient or the patient's representatives to ensure that the patient's wishes regarding end-of-life care are thoroughly understood and respected.