Fever in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#11502
SMLE Question #11502
Patient Safety, Preventive & Ethics
Ethics
Objective: OBJ-243
Last updated: February 2026
A 92-year-old nursing home resident presents with fever, confusion, and a painful erythematous sacral pressure ulcer. She has received IV fluids and broad-spectrum antibiotics for suspected sepsis. Her chart includes a signed directive declining intubation and CPR if she develops a severe infection with poor chance of meaningful recovery. She is intermittently confused and cannot demonstrate decision-making capacity. Her daughter asks about next steps. What is the most appropriate course of action?
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