A conscious and oriented client is admitted to the telemetry unit with acute gastrointestinal bleeding. The attending physician discusses the need for an urgent blood transfusion and leaves the room to retrieve the consent forms. The client immediately tells the practical nurse, "I am absolutely not taking any blood, no matter what happens." Shortly after, the client's partner enters the room and asks the nurse, "What did the doctor say? Is a transfusion needed?" Which of the following actions should the practical nurse take? Select all that apply.
- Ask the client directly if they authorize sharing medical information with their partner.Cevap
- BDisclose the recommended treatment plan to the partner because they are an immediate family member.
- Notify the registered nurse and the attending physician regarding the client's decision to refuse treatment.Cevap
- DProvide the primary explanation of the life-threatening risks associated with refusing the transfusion.
- Document the client's exact verbal refusal of the blood transfusion in the medical record.Cevap
- FTell the client that refusing the transfusion is a dangerous mistake that will delay their recovery.
Cevap
The correct actions are asking the client for permission to share information, notifying the healthcare team of the refusal, and documenting the client's verbal statement.
The practical nurse must uphold the client's right to autonomy by promptly communicating their refusal to the registered nurse and provider, documenting the exact statement, and verifying consent before sharing any information with the partner. These actions protect the client's privacy, maintain professional boundaries within the practical nurse's scope of practice, and ensure the healthcare team can respond appropriately to the client's decision.
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Client Rights, Advocacy, and Confidentiality in the Refusal of Care