What should the nurse do first upon discovering a signed "do not resuscitate" order for a patient with a history of hypertension in the ICU?

In a situation where a nurse discovers a signed "do not resuscitate" (DNR) order for a patient, the essential initial step is to confirm the current resuscitation wishes with the client and their family. This step is crucial because patients' healthcare preferences can evolve, especially in an intensive care setting where their condition may have changed since the DNR was signed. Engaging with the patient, if they are able to communicate, or their family, ensures that the nurse is respecting the patient's autonomy and understanding their wishes thoroughly.

Communicating these wishes also serves to alleviate any potential confusion or distress among family members. They may have different perspectives based on recent events or conversations, and addressing any uncertainties ensures a collaborative approach to the patient's care.

While it is important to consult with a physician regarding the DNR order, confirming the patient’s or family’s wishes takes precedence to guarantee that their current desires are understood and considered when making decisions about care.