A patient refuses blood transfusion on religious grounds despite life-threatening anemia (Hgb 4 g/dL). They are alert and oriented. What should the physician do?
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A
Transfuse immediately to prevent death
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B
Respect the refusal and maximize alternative interventions such as IV iron and erythropoiesis-stimulating agents
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C
Obtain a court order to override the refusal
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D
Transfer to another facility that will transfuse without consent