Difficulty: Medium
Average Score: 78%
Simulated
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct answer
B
Rationale
The correct answer is B: Melena. Melena is a sign of gastrointestinal bleeding, which can be a serious complication of warfarin therapy due to its anticoagulant effects. Reporting melena promptly is crucial to prevent further complications like hemorrhage. Hair loss (A) is a common side effect of warfarin but not a priority compared to potential bleeding. Abdominal cramping (C) can occur but does not indicate immediate danger. Fever (D) is not directly related to warfarin therapy and may be due to other causes.