— 照護管理 · EASY · MCQ —
護理師照護一位簽署 DNR（不施行心肺復甦術）的病人，下列哪項做法正確？
A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which action is consistent with the order?
- ADeclining to call the family upon the client's passing拒絕在病人過世後通知家屬
- BWithholding all pain medications to avoid respiratory depressionwithholding 所有止痛藥物以避免呼吸抑制
- CEnsuring the client remains comfortable while providing routine hygiene✓ 正解確保病人在提供常規衛生護理時保持舒適
- DAvoiding suctioning the airway regardless of secretions無論是否有分泌物，都避免抽吸氣道
— Explanation · 中文詳解 —
DNR 指的是在心跳停止時不實施 CPR，不代表放棄治療或舒適照護。護理師應持續提供舒適緩解症狀，包括衛生照顧與給予止痛藥。吸痰是為了改善呼吸舒適，除非病患或家屬有進一步『安寧緩和』指令，否則常規舒適照護仍需進行。
A DNR order means that CPR will not be performed if the heart stops; it does not mean that treatment or comfort care is withdrawn. The nurse should continue to provide comfort measures and symptom relief, including hygiene care and the administration of analgesics. Suctioning is performed to improve respiratory comfort, and unless the patient or family has further palliative/hospice instructions, routine comfort care must still be carried out.
✦ 台美臨床差異
台灣安寧緩和醫療條例與美國 DNR 概念相似，但臨床對『放棄搶救』與『安寧醫療』的界線認知在民眾心中仍常有混淆。