# 一位預定接受手術的個案表示：「我因宗教原因不接受血液製品。」護理師應採取哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397240&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

一位預定接受手術的個案表示：「我因宗教原因不接受血液製品。」護理師應採取哪項行動？

## 選項

1. 告知個案除非接受血液，否則手術將被取消。
2. 通知手術團隊，並確保此意願被清楚記錄。 **✔ 正確答案**
3. 要求家屬說服個案簽署同意書。
4. 在醫師到達前，將拒絕輸血的紀錄從病歷中移除。

**正確答案: 2**

## 解析

具備行為能力的個案有權拒絕治療，包括血液製品。護理師應溝通並記錄此意願，以便團隊規劃安全的替代方案。強迫、隱瞞意願或威脅取消手術，均違反個案自主權。

## 深入解析

臨床判斷
運用個案線索、時機、檢驗數據及安全風險，選擇最符合「拒絕血液製品」情境的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對「拒絕血液製品」，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **知情拒絕** — 個案在獲得可理解的資訊後，決定拒絕治療。
- **自主權** — 個案對自身照護做出知情選擇的權利。
- **血液製品** — 輸注的成分，例如濃縮紅血球、血漿或血小板。

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