一位擁有不施行心肺復甦術（DNR）醫囑的病人停止呼吸且無脈搏。護理師應優先採取何種措施？
A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client stops breathing and has no pulse. Which action should the nurse take first?
- ABegin chest compressions immediately立即開始胸部按壓
- BVerify the DNR order in the medical record在病歷中查證不施行心肺復甦術（DNR）醫囑
- CCheck the client's responsiveness and carotid pulse✓ 正解檢查客戶的反應性及頸動脈搏動
- DCall the code team to the room呼叫急救小組到病房
即便病人有 DNR，在執行醫囑前，護理師仍必須先確認臨床狀況（確認有無呼吸脈搏）。若確認無生命徵象，則應遵照醫囑停止急救措施。A、D 為無效醫療行為，B 應在確認病人生命徵象後確認，但臨床上 DNR 狀態應在交班時即已掌握，優先行動仍為評估生命徵象。
Even when a client has a DNR order, the nurse must first confirm the clinical status (presence or absence of breathing and pulse) before implementing the order. If the absence of vital signs is confirmed, resuscitation measures should be withheld in accordance with the order. Options A and D represent futile medical interventions; option B should be verified after assessing the client's vital signs, although clinically the DNR status should already have been communicated during handoff. The priority action is still to assess vital signs.
台美皆嚴格遵守 DNR 規定；美國對預立醫療指示（Advance Directives）落實度高，台灣臨床執行 DNR 時需確認法定代理人簽署情況。