A nurse is caring for a client who identifies as a Jehovah's Witness and has been admitted with a gastrointestinal bleed. To provide culturally and ethically competent care, which action should the nurse prioritize?
Contact the hospital's ethics committee to discuss the potential for conflict.
Ask the client about their specific wishes regarding blood products and check for an advance directive.
Inform the client about the life-threatening risks of refusing a blood transfusion.
Immediately notify the healthcare provider that the client cannot receive a blood transfusion.
The correct action is to ask the client directly about their specific beliefs regarding blood products and to check for an advance directive. Jehovah's Witnesses are often known for refusing homologous blood transfusions, but individual beliefs and the acceptance of certain blood fractions or alternative treatments can vary. Making assumptions without direct assessment is inappropriate. The nurse's first responsibility is to assess the individual patient's wishes to ensure the care plan is person-centered and respects their autonomy. Notifying the provider is important, but only after the nurse has assessed the client's specific directives. Informing the client about risks is part of informed consent but should follow an assessment of their established beliefs. Notifying the ethics committee is premature and should only be considered if an unresolvable conflict arises.
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NCLEX RN
Psychosocial Integrity
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