The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112, blood pressure 96/44 mmHg, and an SpO₂ of 82%. He has a valid DNR, but family is scared and wants him transported to the ED for evaluation. Your next action would be to:

Question

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The patient is experiencing hypoxia, as evidenced by the low SpO₂ reading. Providing high-concentration oxygen and monitoring vitals is necessary to improve oxygenation and ensure stability during transport. While honoring the patient's DNR, the family's request for transport should also be taken into consideration, as they may need emotional support during this difficult time. However, physical care should not be initiated if it goes against the patient's wishes in the DNR.

The Family of a Patient in Hospice Care for the Final