A patient refuses a dose of medication. How should the nurse document the event?
A)Patient is uncooperative and refuses the prescribed dose of digoxin.
B)Patient refuses the 0900 dose of digoxin.
C)Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin. 4.0900 dose of digoxin not given.

Question

Quizplus · Accepted Answer

The correct way to document a patient's refusal of medication is to state the fact without adding subjective or judgmental language. Option B accurately and objectively documents the event, specifying the medication and the time without attributing negative characteristics to the patient.

A Patient Refuses a Dose of Medication