Difficulty: Medium
Average Score: 77%
Simulated
A client is being evaluated in the emergency department after reporting chest pain and shortness of breath. The nurse notes that the client is taking warfarin for atrial fibrillation. Which finding requires immediate action by the nurse?
Correct answer
B
Rationale
Tachycardia and shortness of breath suggest a possible thromboembolic event, which is life-threatening and requires immediate action.