If a patient declines a blood transfusion due to religious beliefs, what should the nurse do?

• A. Overrule
• B. Ignore
• C. Seek court order
• D. Respect client's wishes

Answer: (D)

Respect for patient autonomy is the guiding principle here. When a patient who is competent chooses to refuse a blood transfusion, the nurse must honor that decision, even if it conflicts with medical advice. Start by confirming the patient understands the risks and consequences of declining transfusion and ensure the choice is voluntary and made without coercion. Document the discussion and the patient’s decision clearly in the chart. Continue to provide care that supports the patient and explore feasible alternatives to manage the situation, such as strategies to minimize bleeding, bloodless treatment options, or a different plan aligned with the patient’s beliefs. If the patient lacks capacity or is a minor, involve a legally authorized representative or ethics/con legal processes as appropriate. The essential action is to respect the patient’s wishes while ensuring informed consent and safety.