Question

A nurse is caring for a client who refuses to take the prescribed medication, stating that she is allergic to it. What should the nurse do when the client refuses to take the medication? Select all that apply.

a. Inform the nurse manager about the situation.
b. Identify the reason for not administering.
c. Circle the scheduled time on the MAR.
d. Discuss the reason for refusal with the client.
e. Report the situation to the prescriber.

Answer 1

When a client refuses medication due to an allergy, the nurse should discuss the refusal with the client, identify reasons for not administering, report to the prescriber, inform the nurse manager, and circle the scheduled time on the MAR to maintain accurate records.

Step-by-step explanation:

Handling Medication Refusal Due to Allergy

When a client refuses to take the prescribed medication due to an allergy, the nurse should perform several actions to ensure the safety and well-being of the client. Firstly, the nurse should discuss the reason for refusal with the client to understand their concerns and to confirm the allergy. It is essential to identify the reason for not administering the medication as it can significantly impact the client's care and treatment plan.

Next, the nurse should report the situation to the prescriber immediately to address the allergy concern and potentially find an alternative medication. Additionally, the nurse should inform the nurse manager about the situation for proper documentation and follow-up actions.

Lastly, the prescribed medication should not be administered, and the nurse should circle the scheduled time on the Medication Administration Record (MAR) to indicate that the medication was not given. This action helps maintain accurate records and ensures transparency in the client's care.