— 照護管理 · MEDIUM · SATA —
護理師照護一位簽有 DNR 的病患，下列哪些行動是正確的？（選所有適合的）
A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which actions should the nurse take? (Select all that apply.)
- AWithhold all comfort measures.停止所有舒適護理措施
- BProvide pain management as needed.✓ 正解視需要提供疼痛管理
- CWithhold all routine medications.停止所有常規用藥
- DRespect the client's end-of-life wishes.✓ 正解尊重病人的臨終意願
- EPerform CPR if the client stops breathing.若病人呼吸停止，執行心肺復甦術
— Explanation · 中文詳解 —
DNR 指的是拒絕心肺復甦術（CPR），並非拒絕所有照護。舒適照護（如給予止痛藥）與尊重臨終意願是護理的核心工作。選項 A、C 錯誤：不應停止常規照護或舒適措施；選項 E 錯誤：與 DNR 之定義完全違背，不可施行 CPR。
A do-not-resuscitate (DNR) order specifically prohibits cardiopulmonary resuscitation but does not mean withholding all other care. The nurse should continue to provide comfort measures, such as pain management, and respect the client's end-of-life wishes while ensuring routine medications necessary for comfort are administered.
✦ 台美臨床差異
台灣安寧療護法規與美國 Advance Directive 理念一致，但簽署流程與執行細節略有不同。