End-stage Renal Disease On in Patient Safety, Preventive & Ethics — 9yo Child | Ethics | SMLE Q#17756
SMLE Question #17756
Patient Safety, Preventive & Ethics
Ethics
Objective: OBJ-243
Last updated: February 2026
A 9-year-old boy with end-stage renal disease on chronic hemodialysis is admitted with pneumonia. His mother previously signed a do-not-resuscitate (DNR) order after goals-of-care discussions. Today, he develops worsening nausea, pruritus, and confusion, and nephrology recommends urgent hemodialysis. His mother asks whether the DNR means he should not receive dialysis. What is the most appropriate next step?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.