A client requires a blood transfusion for anemia and informs the nurse that he refuses because he doesn't want to contract acquired immune deficiency syndrome (AIDS). What is the best response by the nurse?
A) "It's always a possibility."
B) "You don't want to die, do you?"
C) "The blood is screened very carefully; the risk is 1 in 2,000,000.
D) "If you don't have the transfusion, you are taking a greater risk."
C
Feedback:
The American Red Cross (2012) and the National Institutes of Health (2011) state that the risk for HIV infection in the United States from a blood transfusion is approximately 1 in 2,000,000 . Informing the client that transmission is always a possibility does not give him any information that will be relevant to his decision. Answers B and D is nontherapeutic and bullies the client into taking the transfusion.
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