Question

A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first?

a. Administer the blood transfusion as ordered without the client's consent.
b. Discuss the potential risks and benefits of the blood transfusion with the client.
c. Respect the client's autonomy and explore alternative interventions.
d. Notify the healthcare provider and request a court order for the transfusion.

Answer 1

In the case of a client refusing a blood transfusion, the nurse should first respect the client's wishes and explore alternative treatments. Type O-negative blood can be used in emergencies due to its compatibility with all blood types.

Step-by-step explanation:

If a nurse is caring for a client who has acute blood loss following a trauma and the client refuses a blood transfusion, the nurse should first respect the client's autonomy and explore alternative interventions. Although the transfusion might be life-saving, it is a fundamental right for patients to refuse medical treatments. Instead, the nurse should discuss the situation with the healthcare provider to find other viable options that align with the patient's wishes. In a critical case where there is no time for cross-matching, type O negative blood, known as the universal donor, is generally transfused because it is most likely to be compatible with any blood type and minimizes the risk of a hemolytic transfusion reaction.