A patient has a do-not-resuscitate (DNR) order. What is the nurse’s legal obligation, even if there is disagreement with the order?

• A. To question the health care provider
• B. To seek advice from the family
• C. To discuss it with the patient
• D. To follow the order

Answer: (D)

A DNR directive is a legally binding instruction that reflects the patient's autonomous choice about life-sustaining treatment. When a DNR is in effect, the nurse is obligated to honor it, even if others disagree, as long as the order is valid, current, and properly documented. This means not initiating CPR in the event of cardiac or respiratory arrest. The nurse’s role is to ensure the code status is respected and to communicate with the physician if there’s any doubt about the order, seeking clarification or following hospital policy as needed. At the same time, other aspects of care aimed at comfort and symptom relief continue in accordance with the patient’s wishes and the care plan.