Question

A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take?

1. Inform the client about the importance of taking the fluid pill.
2. Administer the fluid pill later when the client agrees.
3. Document the refusal and inform the client's provider.
4. Withhold all medications until the client agrees.

Answer 1

The nurse should explain the importance of taking the fluid pill, document the refusal if the client still does not agree, and inform the provider about the client's refusal to take the medication.

Step-by-step explanation:

When a client tells the nurse that they do not want to take their fluid pill until they get home, the nurse should first inform the client about the importance of taking the medication as prescribed. Explaining the need for timely administration of medications might help the client understand the rationale for the medication schedule. However, if the client still refuses, the nurse should respect the client's autonomy while ensuring appropriate care by documenting the refusal and notifying the client's provider.

The correct actions to take would then be:

1. Inform the client about the importance of taking the fluid pill as prescribed.
2. Document the refusal in the client's medical record.
3. Inform the client's provider about the refusal to take the medication.

It is important not to coerce the client or withhold all medications due to the refusal of one; each medication order should be considered independently to ensure client safety and adherence to the treatment plan.