護理師照護一位持有不施行心肺復甦術（DNR）醫囑的病人，若病人呼吸停止，首要採取的措施為何？
A nurse is caring for a client with a Do Not Resuscitate (DNR) order. Which action is the priority if the client stops breathing?
- ACheck the client's pulse and breathing, then document findings✓ 正解檢查病人的脈搏和呼吸，然後記錄發現
- BBegin chest compressions開始胸部按壓
- CInitiate emergency intubation進行緊急氣管插管
- DCall the rapid response team呼叫快速反應小組
DNR（Do Not Resuscitate）醫囑僅針對「心肺復甦術」（CPR），即在心跳或呼吸停止時不進行人工呼吸與胸部按壓。然而，這並不代表停止所有護理照顧。當病人呼吸停止時，護理師應先確認生命徵象（脈搏與呼吸），並依據政策記錄死亡時間及通知醫師。應持續提供舒適護理與臨終支持，而非執行急救措施。
A Do Not Resuscitate (DNR) order pertains only to cardiopulmonary resuscitation (CPR); that is, no rescue breathing or chest compressions are performed when the heartbeat or breathing stops. However, this does not mean that all nursing care is stopped. When the client stops breathing, the nurse should first confirm vital signs (pulse and respirations), and then document the time of death and notify the physician per policy. Comfort care and end-of-life support should continue to be provided rather than emergency resuscitation.