護理師正在為一位猝死病人進行遺體護理。家屬已要求進行病理解剖（Autopsy）。下列哪項護理措施是正確的？
A nurse is performing post-mortem care for a client who died unexpectedly. The family has requested an autopsy. Which action by the nurse is correct?
- AAllow the family to wash the body before the autopsy.允許家屬在病理解剖前清洗遺體
- BLeave all tubes and lines in place and secure them.✓ 正解保留所有管路並確實固定
- CRemove all intravenous lines and urinary catheters.移除所有靜脈輸液管路及導尿管
- DClean the body thoroughly with antiseptic solution.以消毒溶液徹底清潔遺體
核心概念：病理解剖案例的遺體護理。當遺體需要進行解剖或涉及法律調查（Coroner's case）時，護理處置的最高原則是「維持現狀」以保全證據。正確答案分析：所有侵入性管道（如靜脈導管、氣管內管、尿管）都必須保留在原位，不得拔除。這是為了讓病理醫師評估這些醫療介入是否正確安置，以及是否與死因有關。錯誤選項：移除管道（C）會破壞現場完整性，可能干擾死因鑑定；徹底清潔（D）或讓家屬清洗（A）可能會洗掉潛在的生物證據或微量跡證。臨床思路：護理師應將管道妥善固定，並在遺體標籤上註明「Autopsy Case」，同時與家屬溝通為何暫時不能移除這些管路以取得其諒解。
In cases involving a medical examiner or autopsy, the nurse must leave all tubes and lines in place and secure them to preserve forensic evidence and allow for accurate assessment of medical interventions. Removing lines or cleaning the body thoroughly could destroy critical evidence needed to determine the cause of death.
美國法規對於「Coroner's cases」有非常嚴格的 Standard Operating Procedure (SOP)，護理師若違反規定移除管道可能面臨法律責任；台灣則通常在醫師確認死因非醫療糾紛後，由護理師或葬儀業者移除所有管路，除非進入司法相驗程序。