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照護管理 · MEDIUM · MCQ

一位病人簽署了放棄急救(DNR)同意書。下列敘述何者正確?

A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which of the following is true?

  • ADNR orders must be renewed every 24 hours
    DNR 醫囑必須每 24 小時續簽
  • BThe DNR order does not mean the client is not entitled to comfort care✓ 正解
    DNR 醫囑並不意味著病人無權獲得舒適照護
  • CThe nurse should remove all intravenous lines immediately
    護理師應立即移除所有靜脈導管
  • DThe nurse should stop providing all nursing care
    護理師應停止提供所有護理照護
Explanation · 中文詳解

放棄急救(DNR)醫囑僅適用於心肺功能停止時,禁止執行心肺復甦術(CPR)、電擊與氣管內插管。它並不等同於「放棄照護」。在臨床照護中,病人仍享有完整的護理服務,包括疼痛緩解、症狀控制、舒適照護(Comfort care)及維持身心靈尊嚴。護理師必須釐清 DNR 並非拒絕所有醫療介入,而是拒絕特定侵入性急救程序。

A do-not-resuscitate (DNR) order applies only in the event of cardiopulmonary arrest and prohibits CPR, defibrillation, and endotracheal intubation. It does not mean "withdrawal of care." In clinical practice, the patient is still entitled to the full range of nursing services, including pain relief, symptom management, comfort care, and the preservation of physical, mental, and spiritual dignity. The nurse must clearly distinguish that a DNR is not a refusal of all medical interventions, but a refusal of specific invasive resuscitation procedures.

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