Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse is caring for a 16-year-old female client with an HGB of 8.0g/dL The physician has prescribed transfusion of two units of whole blood. As Nina the New Nurse explains the procedure, the mother of the client interrupts to say, “Absolutely not! We don’t believe in blood transfusions! I will not allow you to do that to my child!” What is Nina the New Nurse’s most appropriate response?
  1. Say, “I will let the physician know your decision,” then immediately notify the physician of the mother’s decision.
  2. Ask the mother to leave the room and begin the transfusion.
  3. Ask the mother, “Before you make your decision, would you like to talk about how the transfusion will benefit your daughter’s health?”
  4. Say, “I wasn’t aware of your feelings about transfusion. What is your religious faith?”
Explanation
Answer: A - It is the responsibility of the physician to inform the client (or parent of a minor client) of a proposed treatment and its purpose and goals,, as well as discussing the impact to the client’s health should the client choose not to undergo the procedure. It is not the nurse’s responsibility to discuss, persuade, or encourage the mother to give consent for the transfusion.
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