Difficulty: Medium
Average Score: 86%
Simulated
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Correct answer
B,C,D,E
Rationale
Bleeding and bruising suggest anticoagulant-related complications. Completing a variance report documents issues, reviewing coagulation labs guides management, reporting to the provider ensures intervention, and a soft toothbrush reduces gum trauma. NSAIDs increase bleeding risk and are contraindicated.