Difficulty: Medium
Average Score: 76%
Simulated
The client prescribed rivaroxaban (Xarelto), an anticoagulant, is complaining of dark, tarry stool. Which should the nurse implement first?
Correct answer
A
Rationale
Dark, tarry stool suggests GI bleeding; notifying HCP (A) is first for urgent evaluation. Stool sample (B), last dose (C), and bleeding assessment (D) follow.