一位持有 DNR（拒絕心肺復甦術）醫囑的病人停止呼吸，護理師下一步應採取什麼行動？
A nurse is caring for a client with a DNR order. The client stops breathing. What should the nurse do next?
- ALeave the room and notify the family離開房間並通知家屬
- BCheck the client for a pulse and breathing, then document findings✓ 正解檢查病人是否有脈搏和呼吸，然後記錄發現
- CInitiate CPR immediately立即開始心肺復甦術
- DCall the code team呼叫急救小組
DNR（Do Not Resuscitate）醫囑僅指在病人發生心跳停止（Cardiac arrest）或呼吸停止時，不進行心肺復甦術。然而，這並不代表停止所有生命照護或評估。當病人呼吸停止時，護理師仍須進行評估以確認死亡狀態，這是護理專業職責。確認後需通知醫師宣告死亡，並執行後續的臨終關懷與家屬支持。
A DNR (Do Not Resuscitate) order only specifies that cardiopulmonary resuscitation should not be performed if the patient suffers cardiac arrest or respiratory arrest. However, this does not mean that all life care or assessment is stopped. When the patient stops breathing, the nurse must still perform an assessment to confirm death, which is part of professional nursing responsibility. After confirmation, the physician must be notified to pronounce death, and subsequent end-of-life care and family support must be carried out.
台灣與美國在 DNR 執行上核心一致，皆尊重病人自主權。差異在於美國簽署 DNR 需符合州法律規範（如 POLST），且護理師在確認死亡後的行政程序與法律責任上更為嚴謹。