— 照護管理 · MEDIUM · SATA —
護理師照護一位簽署 DNR（不施行心肺復甦術）的病人時，應採取哪些行動？（選所有適合的）
Which actions should the nurse include when caring for a client with a DNR order? (Select all that apply.)
- AWithhold all comfort care measures拒絕所有舒適照護措施
- BDocument the client's wishes clearly in the chart✓ 正解在病歷中清楚記錄病人的意願
- CProvide emotional support to the family✓ 正解提供家屬情感支持
- DEnsure the order is current and signed by the physician✓ 正解確保醫囑有效且經醫師簽署
- EWithhold oxygen and pain relief拒絕給予氧氣和止痛藥
— Explanation · 中文詳解 —
DNR 指的是拒絕心肺復甦術，並非拒絕所有治療。護理師應提供疼痛控制、舒適照護（Comfort care）及情感支持。同時，必須核對醫囑是否在期限內且簽名合法。不可停止病人的氧氣或止痛藥，因為這些屬於維護舒適的必要處置，並非復甦手段。
A DNR order refuses cardiopulmonary resuscitation but does not refuse all treatment. The nurse must provide pain management, comfort care, and emotional support, and verify that the order is current and signed. Oxygen and analgesics must not be withheld because they are part of comfort, not resuscitation.
✦ 台美臨床差異
台灣 DNR 受限於安寧緩和醫療條例，需家屬同意或病人預立意願；美國則更尊重 Living Will。護理師在台執行時需嚴格核對法定文件。