Question

A female client is admitted with end stage pulmonary disease is alert, oriented, and complaining of shortness of breath. The client tells the nurse that she wants "no heroic measures" taken if she stops breathing, and she asks the nurse to document this in her medical record. What action should the nurse implement

Answer 1

The nurse should document the client's request of 'no heroic measures' in her medical record to ensure her wishes are respected and communicated to the healthcare team. This helps guide medical decision-making and serves as a legal documentation. The nurse should have a conversation with the client to fully understand her wishes and involve the interdisciplinary team.

Step-by-step explanation:

The nurse should implement the client's request by documenting it in her medical record. This ensures that the client's wishes are respected and communicated to the healthcare team. It is important for the nurse to clearly document the client's statement of wanting 'no heroic measures' in the case of stopped breathing or respiratory distress.

Documenting this information in the medical record helps guide medical decision-making and ensures that the client's preferences are taken into account. It also serves as a legal documentation of the client's wishes and can be referred to by the healthcare team in case of any uncertainties or conflicts.

It is important for the nurse to have a conversation with the client to fully understand her wishes and provide appropriate education and support. The nurse should also involve the interdisciplinary team, including the healthcare provider, to ensure that the client's wishes are clearly communicated and implemented.