A nurse is caring for a twelve-year-old patient whose parents are known Jehovah’s Witnesses. The physician ordered two “u” of PRBC properly typed and cross matched. The nurse should:
  1. Proceed with the blood transfusion after giving the consequences of not having it
  2. Talk to the parents with full information and reasons for transfusion
  3. Have the parents decide on their own with respect to their religion
  4. Remind the physician that the patient has parents are known Jehovah’s Witnesses and ask to defer the order
Explanation
Answer - B -The nurse should talk to the parents with full information and reasons for transfusion. Jehovah’s Witnesses have traditionally shunned transfusions and blood products as part of their religious beliefs. It’s important to approach the family with full information and reasons for the transfusion or blood components without being judgmental, allowing the parents to express their feelings. In fact, studies show that while adults often refuse transfusions for themselves, they frequently allow their children to receive blood products, so one should never assume that an individual will refuse blood products based on their religion alone.
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