新護理師注意到一位剛轉移到以舒適為主之安寧療護計畫的高齡病患，在其醫囑上仍有一項活躍的每日指尖血糖檢測與滑動量表胰島素注射。這名安寧病患目前無意識且正在接受嗎啡治療。護理師最恰當的行動為何？
A new nurse notes that an older adult client, recently transitioned to a comfort-focused hospice care plan, has an active order for daily fingerstick blood glucose checks and sliding scale insulin. The hospice client is unconscious and receiving morphine. What is the most appropriate action by the nurse?
- AHold the insulin unilaterally but continue painfully pricking the client's finger daily for documentation purposes.單方面暫停胰島素，但為文書紀錄目的繼續每天痛苦地採集病人指尖血。
- BTeach the highly distressed family members how to perform the painful blood glucose checks themselves.教導情緒高度困擾的家屬如何自行執行痛苦的血糖檢測。
- CContinue performing the fingerstick checks strictly every 4 hours to maintain standard glycemic targets.嚴格每 4 小時進行指尖採血，以維持標準血糖目標。
- DCall the primary physician to query and likely discontinue these invasive routine diabetic interventions.✓ 正解致電主治醫師查詢並很可能停止這些侵入性的常規糖尿病介入措施。
本題測驗安寧療護的核心轉換 (Palliative/Hospice care plan alteration)。安寧療護的核心是「最大化舒適 (Comfort measures)」，停止一切不具備即刻緩解症狀目的的侵入性、慢性病控制治療。對於正在瀕死的無意識病患，控制血糖以預防「10 年後的洗腎併發症」是毫無意義的，戳手指只會給他們帶來不必要的物理疼痛。護理師必須主動聯絡醫師，停止這類無用的常規檢查。
In hospice care, the priority is comfort rather than chronic disease management. Unnecessary invasive procedures like fingersticks for blood glucose monitoring cause pain without benefit; the nurse should contact the physician to discontinue these routines.
安寧療護停止一切侵入性非舒緩治療（抽血、驗血糖、甚至量血壓），台美觀念完全一致。