A patient who is alert and oriented refuses a blood transfusion based on his personal beliefs. The nurse’s primary ethical responsibility is to:

  • Administer the transfusion anyway because it is medically necessary.
  • Tell the patient he is making a foolish decision.
  • Respect the patient's autonomy and right to refuse treatment, and notify the physician.
  • Ask the patient's family to convince him to change his mind.
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