A client with chronic obstructive pulmonary disease presents with respiratory acidosis and hypoxemia. He tells the nurse that he doesn't want to be placed on a ventilator. What action should the nurse take?
a) Notify the physician immediately so he can determine client competency.
b) Have the client sign a do-not-resuscitate (DNR) form.
c) Determine whether the client's family was consulted about his decision.
d) Consult the palliative care group to direct care for the client.
Answer: a) Notify the physician immediately so he can determine client competency.
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