In a case where a client requests a DNR order and family opposition arises, what is the first action a nurse should take?

In this scenario, gathering information to support the client's DNR request is a crucial first action. It is essential for the nurse to understand the client's wishes and the medical rationale behind the DNR order. This involves reviewing the client’s medical history, current health status, and any advanced directives that may exist. By doing so, the nurse can create a well-informed basis to discuss the situation with both the client and the family.

This approach not only respects the client’s autonomy but also enables the nurse to present clear, factual information to the family, facilitating a more constructive conversation. It is important to ensure that the family understands the implications of the DNR order and why it aligns with the client’s wishes and best interests.

Taking this step before involving the family or contacting the healthcare provider allows the nurse to be prepared with valuable insights and context for discussions that may follow. It emphasizes the nurse's role as an advocate for the client’s preferences and fosters an environment where informed decisions can be made collaboratively.