A nurse is planning care for a client who practices Islam and is admitted for surgery. Which of the following interventions should the nurse include in the plan of care?

Rationale: The nurse should acknowledge the family members' concern, but also respect the client's right to autonomy and self-determination regarding end-of-life care. The nurse should explain that the client has the right to choose where they want to receive hospice care, whether it is at home or in another setting.

Incorrect options:

B) "I think you should respect your loved one's decision, as hospice care can provide comfort and quality of life at home." - This option is partially correct, as hospice care can provide comfort and quality of life at home for clients who have terminal illnesses. However, this option may imply that the nurse is taking sides with the client or judging the family members for their concern. The nurse should avoid making personal opinions or assumptions about the best option for end-of-life care, as this may vary depending on the client's preferences and values.

C) "I'm sorry, but your loved one has made up their mind, and there is nothing you or I can do to change it." - This option is dismissive and insensitive, as it does not acknowledge or address the family members' concern or attempt to provide support or information. The nurse should engage in open and empathetic communication with the family members to address their concerns and provide education and resources about hospice care.

D) "I agree with your loved one's decision, as hospice care at home is more cost-effective and convenient than hospital care." - This option is inappropriate, as it focuses on cost-effectiveness and convenience rather than the client's autonomy and right to choose their preferred care setting. The nurse should prioritize the client's wishes and values when discussing end-of-life care decisions.

Rationale: The nurse should respect the client's right to autonomy and self-determination, and honor their religious beliefs and preferences regarding blood transfusions. The nurse should provide supportive care, such as hydration, oxygenation, pain management, and infection prevention, to help the client cope with the vaso-occlusive crisis.

Incorrect options:

B) Inform the client of the risks and benefits of blood transfusions. - This option may imply that the nurse is trying to persuade or coerce the client to accept blood transfusions, which would violate the client's right to informed consent and refusal. The nurse should provide information only if the client requests it or expresses doubt about their decision.

C) Contact the hospital ethics committee to override the client's refusal. - This option is unethical and unnecessary, as the client has the capacity to make their own decisions and has clearly stated their refusal of blood transfusions. The hospital ethics committee should only be involved if there is a conflict or uncertainty about the client's wishes or best interests.

D) Ask the client to sign a consent form for blood transfusions in case of emergency. - This option is disrespectful and inappropriate, as it disregards the client's religious beliefs and values, and implies that the nurse does not trust or support the client's decision.