Personal Reasons in Patient Safety, Preventive & Ethics — 29yo Woman | Ethics | SMLE Q#16964

SMLE Question #16964

Patient Safety, Preventive & Ethics Ethics

Objective: OBJ-243

Last updated: February 2026
A 29-year-old woman undergoing emergency caesarean section under spinal anaesthesia previously told the nurse she refuses any blood transfusion for personal reasons, and this was documented. Intraoperatively, she develops heavy bleeding despite uterotonic therapy. She is awake, oriented, and able to communicate. What is the most appropriate action?

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