Coordinated Care NCLEX RN Exam Questions

The nurse is caring for a client who is a Jehovah's Witness and is scheduled for hip replacement surgery. The client refuses to sign consent for blood due to religious reasons. The client's daughter has the power of attorney in case the client is unable to state his wishes regarding health care. The daughter tells the nurse, 'I'm afraid if something goes wrong, dad might need blood. I want to sign a blood consent form since I'm his power of attorney.' The daughter is not a Jehovah's Witness. Which action by the nurse is the best in this situation?

A. notify the charge nurse so that she can ask the night shift nurse to handle the situation

B. go and get a blood consent form for the daughter to sign, noting that she has power of attorney over the client

C. notify the surgeon that the client's daughter has power of attorney and will be signing a blood consent form so that an order may be obtained for a type and cross

D. remind the daughter that the client clearly does not wish to receive blood, and that a power of attorney cannot override client wishes that have been clearly stated when he was able to give or refuse consent

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