What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

A. This action exemplifies nursing advocacy. Ensuring that a client has given informed consent means that the nurse is making sure the patient understands their treatment options, the risks involved, and the potential benefits.
B. While sharing experiences can be helpful, influencing a client’s decision based on the nurse's own experiences can compromise the client’s autonomy. Advocacy means supporting the patient in making their own informed choices rather than directing them toward a specific decision.
C. Discussing a client’s medical treatment with someone who is not part of the healthcare team or not authorized to receive that information violates patient confidentiality and privacy rights. Advocacy includes respecting the client’s right to privacy and not disclosing information without consent.
D. While nurses can provide education and information about treatment options, recommending specific surgical or treatment options is generally outside the scope of nursing practice. Advocacy involves helping clients understand their options and supporting them in their decisions, not directing them toward specific interventions.

A. While it's important to obtain a formal DNR order, the nurse should not delay providing emergency care while waiting for the order. The client's immediate needs take precedence.
B. The risk manager can provide guidance and support, but they cannot provide immediate medical care. The nurse's priority should be to provide emergency care to the client.
C. Even in the absence of a formal DNR order, the nurse has a legal and ethical duty to provide emergency care to a client who is in cardiac or respiratory arrest.
D. This is the most appropriate action. The nurse should immediately call the emergency response team to initiate resuscitation efforts. While waiting for the team to arrive, the nurse should continue to provide basic life support measures, such as CPR and rescue breathing. Once the emergency response team arrives, they will take over the resuscitation efforts and obtain a formal DNR order from the provider if necessary.