A patient taking warfarin for atrial fibrillation has bleeding from the gums and dark, tarry stools. Which action should the nurse take first?
Correct answer: B. Assess the patient and notify the provider promptly
- A. Administer the next dose with food
- B. Assess the patient and notify the provider promptly
- C. Encourage vigorous tooth brushing to remove blood
- D. Give aspirin to reduce the risk of embolism
Explanation
Gum bleeding and melena suggest clinically important anticoagulant-related bleeding and require prompt assessment, including vital signs and ordered coagulation testing. The next warfarin dose and aspirin could worsen bleeding, while vigorous brushing can further injure the gums.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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