مريض في وحدة القلب يرفض حقنة الإينوكسابارين الوقائية ويقول إنه يكره الإبر. ما أول تصرف مناسب؟

A cardiac-unit client refuses his prophylactic enoxaparin injection, saying he hates needles. What is the most appropriate first action?

1. Tell him he has no right to refuse
2. Simply document the refusal without discussion
3. Ask about the reason and explain the purpose of the drug
4. Give it while he sleeps because it is important

Answer: C) Ask about the reason and explain the purpose of the drug. A competent client may refuse. The first step is to understand why and give clear information; alternatives such as mechanical prophylaxis may exist. Continued refusal is documented and reported.