The nurse is caring for a 65-year-old Jehovah's Witness who is having severe gastrointestinal bleeding. The patient's hemoglobin is dangerously low. The patient, who is fully alert and competent, refuses to accept the blood transfusion ordered by the physician. Which action by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

The nurse should ensure the patient fully understands the potential consequences of refusing the blood transfusion and then respect the patient's wishes since the patient is fully alert and competent. The nurse cannot proceed with administering the blood without informed consent since it violates the patient's autonomy and may lead to legal consequences. Obtaining a court order or having the patient's spouse sign the consent form without the patient's consent is also against ethical principles of respect for patient autonomy. Administering the blood while the patient is sleeping is also unethical and can lead to legal consequences.

The Nurse Is Caring for a 65-Year-Old Jehovah's Witness Who