What should the nurse monitor closely for a client receiving anticoagulant therapy?

• A. Temperature and respiratory rate
• B. Signs of bleeding and bruising
• C. Urine output and fluid intake
• D. Daily weight changes

Answer: (B)

Monitoring for signs of bleeding and bruising in a client receiving anticoagulant therapy is crucial for patient safety. Anticoagulants work by inhibiting the body’s ability to form blood clots, which can be essential for treating conditions like thrombosis or maintaining blood flow in certain conditions. However, this mechanism also increases the risk of bleeding.

Signs of bleeding can manifest in various ways, such as unexplained bruising, blood in urine or stool, prolonged bleeding from cuts, or other unexpected hemorrhagic events. By closely observing for these signs, a nurse can promptly identify complications associated with anticoagulation therapy and take appropriate action, such as notifying the healthcare provider or adjusting the medication dosage. Recognizing these indicators early can significantly impact the management of the patient's treatment and overall health outcome.