Anticoagulants: Monitoring And Bleeding Precautions Practice Test

A 54-year-old client with a mechanical heart valve takes warfarin. Today’s INR is 6.2 (therapeutic range typically 2.5–3.5 for many mechanical valves), and the client reports blood in the urine. What is the PRIORITY nursing action for this client?

A 66-year-old client is postoperative day 1 after total hip arthroplasty and was started on enoxaparin for venous thromboembolism prophylaxis. The client has a history of peptic ulcer disease and is reporting dizziness; assessment shows BP 90/54 mm Hg, HR 118/min, and a large new bruise on the flank. What is the PRIORITY nursing action for this client?