A 42-Year-Old Woman from India Is Visiting Her Daughter and New

A 42-year-old woman from India is visiting her daughter and new grandson.She is a devout follower of Hindu religious practices and has been diagnosed with splenomegaly,possibly from idiopathic thrombocytopenia.The patient is scheduled for a total splenectomy.During the preoperative assessment,the perioperative nurse,an observant practitioner of Hinduism,is concerned about the possibility of significant bleeding because of the patient's coagulopathy and the need for hemostatic agents that are typically used to stop bleeding.Many of these products are manufactured from bovine source products,and it would be in conflict with the patient's religion to use products from a cow.An appropriate risk-reduction strategy for selection of hemostatic agents that would not be in conflict with the patient's belief system would be:

A) substitute absorbable gelatin and oxidized collagen products; soak in thrombin.
B) substitute absorbable collagen products; apply with dry gloves.
C) substitute absorbable gelatin and oxidized collagen products.
D) substitute microfibrillar collagen soaked in thrombin; add epinephrine 1:1000.