— 照護管理 · HARD · MCQ —
護理師照護一位簽署拒絕心肺復甦術（DNR）的病人。下列哪項狀況正確遵循此醫囑？
A nurse is caring for a client with a Do Not Resuscitate (DNR) order. Which situation demonstrates appropriate adherence to the order?
- AForcing the client to eat to maintain hydration強迫病人進食以維持水分
- BTransferring the client to the ICU for mechanical ventilation將病人轉至加護病房進行機械通氣
- CNot performing chest compressions when the client stops breathing✓ 正解當病人停止呼吸時，不進行胸外按壓
- DWithholding all pain medications to ensure comfortwithholding 所有止痛藥物以確保舒適
— Explanation · 中文詳解 —
DNR（Do Not Resuscitate）醫囑僅適用於心跳或呼吸停止時的急救復甦程序。它並不代表放棄所有治療，病人仍有權利獲得疼痛控制、舒適護理及抗生素治療等照護。選項 C 正確遵循了 DNR 的定義，即當病人呼吸心跳停止時，不進行心肺復甦術（胸外按壓、氣管內管放置）。其他選項若拒絕所有治療（D）、強迫進食（A）或轉入加護病房進行插管（B），皆不符合病人的照護品質要求或 DNR 定義。
A Do Not Resuscitate (DNR) order specifically declines cardiopulmonary resuscitation measures, such as chest compressions, when the client's heart or breathing stops. It does not prohibit other treatments, including pain management, antibiotics, or artificial nutrition, ensuring the client still receives comfort and medical care.