護理師照顧一位簽署 DNR（不施行心肺復甦術）的病人。哪種情況展現了適當的護理行為？
A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which situation demonstrates appropriate nursing conduct?
- AThe nurse continues to provide comfort measures and pain management✓ 正解護理師繼續提供舒適護理和疼痛管理
- BThe nurse asks the physician to revoke the order immediately護理師要求醫師立即撤銷該醫囑
- CThe nurse stops all nursing care, including turning the client護理師停止所有護理措施，包括為病人翻身
- DThe nurse ignores the DNR order when the family requests resuscitation當家屬要求進行心肺復甦時，護理師忽略 DNR 醫囑
DNR（Do-not-resuscitate）意指在心跳或呼吸停止時，不進行心肺復甦術（CPR）。然而，這不代表病人放棄所有醫療照護。護理師仍需提供高品質的舒適護理（Comfort measures）、疼痛管理、翻身與衛生護理，以維持病人的尊嚴與舒適。這是安寧照護（Palliative care）的精神。護理師必須尊重法律意願書，即便家屬要求急救，若有合法 DNR 意願，仍應依意願書執行。
A do-not-resuscitate (DNR) order specifically prohibits cardiopulmonary resuscitation but does not mean withholding other necessary medical care. The nurse should continue to provide high-quality comfort measures, pain management, and hygiene care to maintain the client's dignity. Respecting the legal DNR order is essential, even if family members request resuscitation.
美國對於 DNR 的法律效力與執行非常嚴謹，護理師需確保 DNR 意願書放置於顯眼處，且團隊成員皆知情。台灣臨床有時會面臨家屬壓力而猶豫，但在 NCLEX 考試中，必須嚴格遵守法律文件的效力。