— 照護管理 · MEDIUM · MCQ —
護理師照護一位簽署 DNR（不施行心肺復甦術）的病人，若病人呼吸停止，應採取何種行動？
A nurse is managing care for a client with a DNR order. Which action should the nurse take if the client stops breathing?
- ACall the code team for full resuscitation呼叫急救小組進行全面復甦
- BProvide comfort measures and notify the family✓ 正解提供舒適護理並通知家屬
- CContact the physician to confirm the DNR status聯絡醫師以確認 DNR 狀態
- DInitiate chest compressions immediately立即開始胸外按壓
— Explanation · 中文詳解 —
DNR 指令僅在「停止呼吸與心跳」時生效，禁止實施心肺復甦術（CPR）或插管。護理重點在於給予臨終關懷（Comfort measures），減輕不適，並依照醫院流程通知家屬與醫師確認病人死亡，而非執行急救程序。
A DNR order takes effect only upon cessation of breathing and heartbeat, prohibiting cardiopulmonary resuscitation (CPR) and intubation. The nursing focus is to provide end-of-life comfort measures, relieve discomfort, and follow hospital procedures to notify family members and the physician to confirm death, rather than initiate resuscitation.
✦ 台美臨床差異
台灣 DNR 受《安寧緩和醫療條例》保障，執法嚴謹度與美國相當，護理師皆需嚴格遵守醫囑與家屬簽署之文件。