護理師照顧一位簽有 DNR（不施行心肺復甦術）的病人，下列哪項護理行動是正確的？

執行 DNR（Do Not Resuscitate，不施行心肺復甦術）醫囑的核心概念是尊重病人的自主權與生命尊嚴，僅在心肺停止時停止 CPR 等侵入性急救措施，但絕不代表放棄病人或停止所有照護。 正確答案 C 闡述了 DNR 醫囑的真正意涵：病人仍需接受常規的護理照護，包括維持舒適、疼痛緩解、症狀管理等，以確保其生命末期生活品質。 錯誤選項 D 和 A 誤解了 DNR，認為是放棄病人，停止一切治療與舒適措施，這與臨床實踐和倫理原則相悖。錯誤選項 B 則與 DNR 醫囑無關，隔離病人是基於傳染病控制，而非 DNR 醫囑。 臨床思路：當病人簽署 DNR 醫囑後，護理師的首要任務是理解並執行醫囑的限制範圍，同時確保提供所有必要的支持性照護，維護病人尊嚴與舒適。安全考量上，放棄基本照護可能導致病人遭受不必要的痛苦。

The core concept of carrying out a Do Not Resuscitate (DNR) order is to respect the patient's autonomy and dignity; CPR and other invasive resuscitative measures are withheld only in the event of cardiopulmonary arrest, but this absolutely does not mean abandoning the patient or stopping all care. The correct answer, C, conveys the true meaning of a DNR order: the patient still receives routine nursing care, including comfort measures, pain relief, and symptom management, to ensure quality of life at the end of life. The incorrect options D and A misinterpret DNR as abandoning the patient and discontinuing all treatment and comfort measures, which contradicts clinical practice and ethical principles. The incorrect option B is unrelated to a DNR order; isolating the patient is based on infectious disease control, not on a DNR order. Clinical reasoning: Once a patient has signed a DNR order, the nurse's primary responsibility is to understand and operate within the scope of the order's limitations while ensuring all necessary supportive care is provided, maintaining the patient's dignity and comfort. From a safety perspective, abandoning basic care can result in unnecessary suffering for the patient.

DNR (Do Not Resuscitate) 的概念在台灣與美國的臨床實踐大致相同，都強調尊重病人意願，僅在心肺停止時停止侵入性急救措施，但持續提供支持性照護。然而，在台灣，DNR 的推動與執行可能受到家屬意見較大的影響，有時需更多溝通協調。美國則更強調病人自主權的法律效力，醫師與護理師需嚴格依循病人的書面指示。