Psychiatric Technician Practice Exam

What should a nursing assessment for Coumadin (warfarin) include?

1. Heart rate monitoring

2. Assessing for any bleeding and hemorrhage

3. Checking blood sugar levels

4. Evaluating renal function

The correct answer is: Assessing for any bleeding and hemorrhage

The nursing assessment for Coumadin (warfarin) should prominently include assessing for any bleeding and hemorrhage. Coumadin is an anticoagulant medication used to prevent blood clots, and one of the most significant risks associated with its use is excessive bleeding. Patients on warfarin require careful monitoring for signs of hemorrhage, such as unusual bruising, blood in urine or stool, or prolonged bleeding from cuts. This vigilance is essential because even minor injuries can lead to significant complications in individuals using anticoagulants. By focusing on the potential for bleeding, nurses can intervene promptly if any signs of hemorrhage are detected, thereby ensuring patient safety and effective management of warfarin therapy. Monitoring for bleeding is critical in a comprehensive assessment for patients receiving this medication, as it directly impacts their health outcomes.