Difficulty: Medium
Average Score: 88%
Simulated
A client has refused a prescribed injection of subcutaneous heparin. Which initial action should the nurse take?
Correct answer
D
Rationale
Inquiring about the refusal (D) allows the nurse to understand the clientÔÇÖs concerns, provide education, and address barriers, promoting informed decision-making. Documenting (A) and notifying the provider (B) are secondary steps, and reviewing platelet count (C) is irrelevant without addressing the refusal first.