Jarvin Patel,a 42-Year-Old Woman from Mumbai,India,is Visiting Her Daughter and New

Jarvin Patel,a 42-year-old woman from Mumbai,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.Jarvin is scheduled for a total splenectomy.During the preoperative assessment,the perioperative nurse,an observant Hindu herself,is concerned about the possibility of significant bleeding because of Jarvin'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 Jarvin'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 Jarvin's belief system would be:

A) substitute absorbable gelatin and oxidized collagen products;soak in thrombin.
B) substitute absorbable gelatin and oxidized collagen products;use high ESU settings.
C) substitute absorbable gelatin and oxidized collagen products;use regular ESU settings.
D) substitute microfibrillar collagen soaked in thrombin;add epinephrine 1:1000.