Pharmacology · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for continuous IV fluid therapy. Assessment data include INR 4.6 without active bleeding but with dark tarry stools. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pharmacology
Answer and explanation
Correct answer
D. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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