A competent adult refuses a blood transfusion after the nurse explains its purpose and possible risks. Which action should the nurse take first?
Correct answer: B. Respect the refusal and inform the healthcare provider
- A. Ask the family to sign consent instead
- B. Respect the refusal and inform the healthcare provider
- C. Administer the transfusion while the patient is unaware
- D. Tell the patient that refusal is not permitted
Explanation
A competent patient may refuse treatment, even when the refusal may lead to serious harm. The nurse should confirm that the decision is informed, document it, and notify the provider; family members cannot replace the patient's decision without legal authority.
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About Nursing Ethics
Nursing ethics examines autonomy, beneficence, non-maleficence, justice, fidelity, veracity, confidentiality and respect for dignity. It covers informed consent, patient advocacy, privacy, refusal of treatment, end-of-life decisions and ethical dilemmas, while distinguishing ethical duties from legal requirements and personal beliefs.
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