護理師照顧一位簽署「不實施心肺復甦術(DNR)」的病人,下列哪項敘述正確?
A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which of the following is correct regarding this order?
- AThe DNR order means all care, including comfort measures, is stopped.DNR 醫囑意味著所有照護,包括舒適護理,都已停止。
- BThe nurse should not administer pain medication to the client.護理師不應給病人施用止痛藥。
- CThe DNR order must be renewed every 24 hours.DNR 醫囑必須每 24 小時續簽。
- DComfort measures and symptom management should be prioritized.✓ 正解應優先進行舒適護理和症狀管理。
DNR(Do-Not-Resuscitate)醫囑僅針對心肺功能停止時是否執行CPR,並不等同於撤除所有醫療照護。在臨終照護(Palliative care)原則下,即使簽署DNR,護理師仍應專注於緩解病人的身體與心理痛苦,提供舒適護理(Comfort measures),這是護理的核心職責。此類醫囑並無強制每日更新的規定,除非病人的治療目標或病情發生重大改變。
A Do-Not-Resuscitate (DNR) order applies only to whether CPR is performed in the event of cardiopulmonary arrest; it does not mean that all medical care is withdrawn. Under the principles of palliative care, even with a DNR in place, the nurse must focus on relieving the client's physical and psychological suffering and providing comfort measures, which remain a core nursing responsibility. Such orders do not require mandatory daily renewal unless the client's treatment goals or condition change significantly.