If a patient has a DNR on file and experiences a sudden cardiac arrest, how should the nurse respond to the family wanting CPR?

The correct response in this situation is to honor the patient's wishes regarding the Do Not Resuscitate (DNR) order. A DNR is a legally binding directive that indicates a patient's preference to forgo cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. Respecting this directive is essential, as it reflects the patient's autonomy and pre-established wishes regarding their medical care.

When a DNR is in place, the healthcare team, including the nurse, is obligated to follow it, regardless of the family's desires. The family's insistence on CPR does not override the patient's documented wishes. By adhering to the DNR, the nurse ensures that the patient's rights and choices are upheld, which is a fundamental principle in healthcare and medical ethics.

In situations like this, effective communication with the family about the DNR order, its implications, and the patient’s wishes can be vital. This approach demonstrates sensitivity to the family’s emotional state while also ensuring that the patient’s autonomy is respected.