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
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.
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