After a patient refuses a medication, which action should you take?

• A. Notify the physician only
• B. Document the refusal and inform the nurse
• C. Ignore the refusal
• D. Force the medication

Answer: (B)

Respecting a patient’s right to refuse medication is essential. When a patient declines a medication, the appropriate action is to document the refusal in the chart and inform the nurse supervising care. This creates a clear record of the patient’s decision, the specific medication, the time, and any reasons or education provided, so the care team can review and respond appropriately. It also ensures safety and accountability by making sure the medication is not administered and that the patient’s decision is acknowledged. The nurse can assess understanding, address concerns, offer alternatives or re-education, and determine whether the physician should be contacted. Forcing medication or ignoring the refusal risks harm and legal issues, so documenting and informing the nurse best supports both patient autonomy and safe care.