The nurse working on a pediatric unit is caring for an infant who lost a large quantity of blood during an accident
The physician believes the child will die without a blood transfusion, and explains that the infant is too critical to attempt other measures to increase the child's blood count. The parents refuse to allow the transfusion because it goes against their beliefs as Jehovah's Witnesses. Following ethical and legal principles, the nurse anticipates which of the following? 1. The physician will seek a court order to administer blood.
2. The parents' beliefs will be respected, and the infant might die.
3. The physician will order administration of medication to stimulate red blood cell production.
4. The physician will continue to try to change one parent's mind.
1
Rationale 1: The client in this scenario is an infant, so a court order will likely be pursed allowing the physician to administer blood to the child. Every attempt will be made to give only the smallest amount of blood necessary to save the infant's life out of respect for the family's beliefs. The health care team's first obligation is to the client (the infant), who is unable to speak for himself.
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