A 25-year-old client who is a Jehovah's Witness was recently diagnosed with multiple myeloma. The client presents with a hemoglobin (Hgb) level of 6 g/dL. The client's physician orders a transfusion of 4 units of red blood cells, but the client refuses. Which is the most appropriate action by a nurse?

Question

Quizplus · Accepted Answer

Jehovah's Witnesses believe that blood transfusions are against God's will and may refuse them even if it is a life-saving intervention. As a nurse, it is important to respect the client's beliefs and autonomy. The nurse should notify the physician of the client's refusal and discuss possible alternatives such as non-blood volume expanders or medications to stimulate erythropoiesis. The nurse should also ensure that the client fully understands the risks and benefits of refusing the transfusion and that the decision is voluntarily made.

A 25-Year-Old Client Who Is a Jehovah's Witness Was Recently