Pharmacology · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for warfarin anticoagulation. Assessment data include bleeding from the IV site and platelets below the ordered threshold. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pharmacology
Answer and explanation
Correct answer
A. 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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