NCLEX PN Practice Test Practice Question

The nurse is giving preoperative medication to an adult who is scheduled for surgery. The client says to the nurse that she does not want to have a transfusion during surgery because it is against her religion. The client has signed a consent form for surgery. How should the nurse respond?

Correct Answer: C

Rationale: Option C is appropriate as it respects the client’s religious beliefs by allowing her to formally refuse blood transfusions while still consenting to the surgery. This ensures the client’s autonomy is honored and documented.

Option A is incorrect because it dismisses the client’s concerns, suggesting that consent implies agreement to transfusions, which may not align with her values.

Option B is misleading; while some surgeries may require transfusions, it is not appropriate for the nurse to assume the surgeon's stance without further discussion.

Option D is inappropriate as withholding medication could compromise the client's care and does not address her expressed wishes regarding transfusions.

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