一位安寧療護護理師正在照護一名75歲、已經完全無反應的末期癌症病患。病患出現了陳施氏呼吸（Cheyne-Stokes respirations）、因分泌物積聚而產生『死前嘎嘎聲 (death rattle)』，且四肢出現大理石斑紋 (mottling)。悲痛的女兒問：『我們是不是應該叫救護車，把他送到加護病房去抽痰清肺？』根據安寧療護原則，護理師最符合倫理的恰當回應為何？

A hospice nurse is managing the care of a 75-year-old terminal cancer client who is entirely unresponsive. The client exhibits Cheyne-Stokes respirations, has a 'death rattle' from accumulated secretions, and shows mottling on the extremities. The distressed daughter asks, 'Should we call an ambulance and take him to the ICU to clear his lungs?' What is the nurse's most appropriate ethical response based on palliative care principles?

• A“Because he signed a Do Not Resuscitate (DNR) order, we are legally strictly forbidden from treating any of his respiratory symptoms entirely.”
  「因為他簽署了不施行心肺復甦術（DNR）指示，我們在法律上嚴格禁止處理他的任何呼吸症狀。」
• B“These breathing changes are a normal, natural part of the dying process. Rushing to the ICU would likely cause him severe unnecessary suffering instead of helping.”✓ 正解
  「這些呼吸變化是死亡過程正常且自然的一部分。匆忙送往加護病房可能會讓他遭受嚴重的不必要痛苦，而非提供幫助。」
• C“I will immediately call 911 because deep continuous suctioning in the ICU is the only way to reverse this fluid overload securely.”
  「我會立即撥打 911，因為在加護病房進行深層連續抽吸是安全逆轉此種液體過載的唯一方法。」
• D“Let's wait for another hour to see if his breathing magically improves before we desperately call the ambulance.”
  「讓我們再等一小時，看看他的呼吸是否在我們絕望地叫救護車之前神奇地改善。」