— 照護管理 · MEDIUM · SATA —
護理師照顧一位簽署 DNR（不施行心肺復甦術）的病人。下列哪些措施是適當的？（選所有適合的）
A nurse is caring for a client with a DNR order. Which actions are appropriate for the nurse to take? (Select all that apply.)
- AProvide comfort measures and pain management✓ 正解提供舒適護理與疼痛管理
- BWithhold all medications including antibiotics暫停所有藥物，包括抗生素
- CEncourage family involvement in emotional support✓ 正解鼓勵家屬參與情感支持
- DPerform post-mortem care if the client expires✓ 正解若病人去世，執行死後護理
- EContinue routine vital sign monitoring as ordered繼續按醫囑進行常規生命徵象監測
— Explanation · 中文詳解 —
DNR 指的是在心跳停止時不進行 CPR 或插管，但並不代表放棄所有治療。舒適護理、情緒支持、死後護理皆為照護範圍。停用抗生素需醫師評估，若屬症狀控制範圍則不應貿然停用；生命徵象測量需依臨床目標（如監測惡化情況），非完全停止。
A DNR order specifically prohibits cardiopulmonary resuscitation and intubation upon cardiac arrest but does not mean withholding all other medical treatments. Appropriate nursing actions include providing comfort care, facilitating family emotional support, and performing post-mortem care, while continuing necessary medications and monitoring based on clinical goals rather than ceasing all interventions.
✦ 台美臨床差異
台灣目前針對 DNR 的執行與簽署受安寧緩和醫療條例保護，護理師需確認法律文件效力。