Author Question: The client refuses a scheduled medication. Documentation on the client's medication administration ... (Read 89 times)

arivle123 · **on:** Jul 22, 2018

The client refuses a scheduled medication. Documentation on the client's medication administration record (MAR) should be completed:

a. by circling the dosage time and initialing it
b. by circling the dosage time, citing the exact reason for withholding the medication, and initialing the entry
c. by drawing a diagonal line through the time and initialing it
d. by leaving the dosage time blank on the MAR

Question 2

After the nurse hands a client a medication, the client says, What is this red tablet for? I have always taken a yellow pill. What is the MOST appropriate action for the nurse to take?

a. Administer the medication, but make a mental note to check on it later.
b. Explain that the health care provider probably changed the drug today to something more effective and administer it.
c. Describe the action of the red tablet to the client and administer it.
d. Withhold the drug and recheck the MAR with the health care provider's order sheet.

flannelavenger · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Documentation of medication administration completes the safe drug administration process; medications should be charted on the MAR only after they have been administered. Nurses should recognize that clients have the right to refuse any medication; while clients should be encouraged to take prescribed medications, they should never be coerced into doing so. As noted previously, reasons for omitting any medication must be documented by circling the dosage time, citing the exact reason for withholding the medication, and initialing the entry.

Answer to Question 2

D
Nurses should recognize that clients have the right to refuse any medication; while clients should be encouraged to take prescribed medications, they should never be coerced into doing so. If the client notes a discrepancy in medications, the nurse should withhold the drug and recheck the medication administration record (MAR) with the health care provider's order sheet.