— 照護管理 · MEDIUM · MCQ —
護理師照護一位因宗教信仰拒絕輸血的病人。護理師優先採取的操作為何？
A nurse is caring for a client who refuses a scheduled blood transfusion due to religious beliefs. What is the nurse's priority action?
- AExplain the life-saving benefits of the transfusion解釋輸血挽救生命的益處
- BDocument the refusal in the medical record在病歷中記錄拒絕行為
- CAsk the family to persuade the client要求家屬說服病人
- DNotify the provider about the client's refusal✓ 正解通知醫療提供者關於病人拒絕輸血的事宜
— Explanation · 中文詳解 —
護理倫理中，「尊重自主權（Autonomy）」是最高原則。當病人因宗教信仰拒絕醫療措施（如輸血），護理師不得強迫或試圖說服病人。首要行動是「通知主治醫師（Notify the provider）」，由醫師評估臨床情境與風險，並討論是否有替代方案（如使用紅血球生成素等）。護理師應將此事記錄於護理紀錄，但首要任務是確保醫護團隊能及時介入調整治療計畫。
Respecting patient autonomy is paramount, so the nurse must notify the provider immediately when a client refuses a blood transfusion for religious reasons. The provider needs to assess the clinical implications and discuss alternative treatments, while the nurse documents the refusal without attempting to coerce the client or involving family to pressure them.