A nurse is providing discharge instructions to a client who has been prescribed warfarin therapy. Which finding should the client be taught to report to the health-care provider immediately?
Occasional dry mouth on waking
Slight ankle swelling after standing for long periods
Dark, tarry stools are a potential sign of gastrointestinal bleeding, a serious adverse effect of anticoagulant therapy. Prompt reporting allows evaluation of the client's coagulation status and prevents life-threatening hemorrhage. Mild fatigue, ankle swelling after prolonged standing, or a dry mouth are not typical indicators of bleeding related to warfarin and do not require urgent evaluation.
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NCLEX RN
Physiological Integrity
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