Question

A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she cannot receive a blood transfusion. Which of the following responses should the nurse make?

(a) I understand your religious beliefs, but I am required to follow hospital policy, which mandates blood transfusions in cases of ruptured appendix.

(b) I respect your beliefs, but I must inform you that refusing a blood transfusion could have serious consequences for your health.

(c) I can arrange for a visit from a spiritual advisor to help you make a decision about your care.

(d) I will abide by your wishes and not administer a blood transfusion, even if it means putting your life at risk.

Answer 1

The nurse should inform the patient about the potential risks of refusing a blood transfusion, while respecting their religious beliefs.

Step-by-step explanation:

The nurse should respond with option (b) 'I respect your beliefs, but I must inform you that refusing a blood transfusion could have serious consequences for your health.'

It is important for the nurse to respect the patient's religious beliefs, but it is also their duty to inform the patient about the potential risks associated with refusing a blood transfusion. The nurse should explain that a ruptured appendix can lead to severe bleeding and a blood transfusion may be necessary to save the patient's life.

The nurse can also offer to arrange a visit from a spiritual advisor to help the patient make a decision about their care, as mentioned in option (c).