The nurse is caring for a client with advanced dementia who is refusing to cooperate with the initiation of a blood transfusion. Which action should the nurse take?
1. Consult mental health.
2. Document the treatment as refused.
3. Explain to the client why the blood is necessary.
4. Administer the blood after the client calms down.
2. Document the treatment as refused.
Explanation: 1. Consulting mental health does not mean the client will agree and would not be the best action. The client has the right to refuse treatment.
2. Documenting that the treatment was refused would not be the appropriate action by the nurse. The nurse should advocate for the client to receive the treatment as much as possible before documenting it as refused.
3. The stem states the client has dementia, so explaining why they need the blood would not be appropriate to get the client to agree. The client has the right to refuse.
4. Waiting for the client to calm down does not mean the client will then agree to the treatment. The client still has the right to refuse.
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