Difficulty: Medium
Average Score: 86%
Simulated
After receiving the third dose of a new oral anticoagulant prescription, an older client develops bleeding and tender gums and has many new bruises. Which action(s) should the nurse implement? Select all that apply.
Correct answer
A,C,D
Rationale
Bleeding and bruising suggest anticoagulant complications. A soft toothbrush minimizes gum trauma, reviewing coagulation labs guides management, and reporting to the provider ensures intervention. NSAIDs increase bleeding risk, and a variance report, while useful, is not an immediate priority.