If a nurse finds a client with a "do not resuscitate" order unresponsive, what should the nurse do first?

In a situation where a nurse discovers a client who is unresponsive and has a "do not resuscitate" (DNR) order, the most appropriate action is to stay in the room and call the nursing team for assistance. This response indicates that the nurse acknowledges the client's wishes as stated in the DNR order, which means that resuscitation attempts should not be initiated.

By staying in the room, the nurse can monitor the client’s condition and ensure that they provide supportive care as needed, respecting the client’s dignity and decisions. Calling for the nursing team ensures that there is an adequate response to the situation and that other healthcare professionals are informed, enabling them to assist as necessary without taking unnecessary measures that contradict the DNR order.

The other options would not be appropriate in this context. For example, contacting the physician or calling a code could lead to interventions that go against the client’s established wishes. Pulling the curtain and leaving the room would neglect the duty of care the nurse has towards the client, both ethically and professionally. Therefore, remaining with the client and seeking assistance from the nursing team is the best course of action to respect the DNR order while ensuring the client is not left unattended.