The nurse is preparing a client for surgery who was admitted from the emergency department following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin sodium 5,000 units SUBQ daily. Which nursing action is a priority?

D Observe the heparin injections sites for signs of bruising. C Ensure that the potential for bleeding is explained to the client. A Have the client sign the surgical and transfusion permits. B Notify the healthcare provider of the client's medication history.