— 照護管理 · MEDIUM · MCQ —
一位病人有 DNR（不施行心肺復甦術）醫囑，病人出現心跳停止。護理師應如何處理？
A nurse is caring for a client with a DNR order. The client goes into cardiac arrest. What should the nurse do?
- AFollow the DNR order and respect the patient's wishes✓ 正解遵循DNR醫囑並尊重病人意願
- BInitiate CPR immediately立即開始心肺復甦術
- CCall the code team immediately立即呼叫急救團隊
- DAttempt to contact the family before doing anything在採取任何行動前先嘗試聯繫家屬
— Explanation · 中文詳解 —
DNR 醫囑代表在病人生命徵象消逝時，尊重其自然過程而不採取人工侵入性復甦。護理師必須遵守此法律文件，採取合乎倫理的照護（如緩和醫療、陪伴），而非強制施行 CPR。直接聯絡家屬應在 DNR 執行後協助後續諮商，而非取代醫囑執行。
A DNR order means that when the client's vital signs are lost, the natural process is respected and no artificial invasive resuscitation is performed. The nurse must adhere to this legal document and provide ethically appropriate care (such as palliative care and presence) rather than initiating CPR. Contacting the family should occur as part of subsequent counseling after the DNR is honored, not in place of carrying out the medical order.
✦ 台美臨床差異
台灣 DNR 指導原則日益普及，需確認 DNR 意願書是否已完成簽署並登錄於健保卡，與美國執法邏輯一致。