A newly admitted client experiences a cardiac arrest and does not have a "do not resuscitate" order. Nursing assistive personnel (NAP) relate that the client stated to family earlier the desire to not be resuscitated. Which action will the nurse perform next?

1. Respect the client's wishes and do not perform cardiopulmonary resuscitation.
2. Tell the health care provider the client asked to have a "do not resuscitate" order.
3. Determine who has the durable medical power of attorney.
4. Start cardiopulmonary resuscitation.

A newly admitted client experiences cardiac arrest without a formal 'do not resuscitate' order, prompting the nurse to start cardiopulmonary resuscitation despite their wishes. Thus the correct option is 4- Start cardiopulmonary resuscitation.

Explanation:

In this situation, the nurse should choose to start cardiopulmonary resuscitation (Option 4). Despite the client's previous statements, without a formal 'do not resuscitate' order in place, the medical team is ethically and legally obligated to attempt resuscitation in case of cardiac arrest.

Verbal statements to family members are not legally sufficient directives; therefore, the nurse should proceed with resuscitation. If a client has a stated wish not to be resuscitated, the procedure should have been to ensure a formal 'do not resuscitate' order is on file. Subsequently, the nurse can inform the provider of the client's wish (Option 2) to prevent future uncertainties.

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