Question

The nurse is assessing a patient who takes warfarin (Coumadin). The nurse notes a heart rate of 92 beats per minute and a blood pressure of 88/78 mm Hg. To evaluate the reason for these vital signs, the nurse will assess the patient's

Answer 1

The nurse will assess the patient's bleeding, medication adherence, and drug interactions.

Step-by-step explanation:

The nurse is assessing a patient who takes warfarin (Coumadin). The nurse notes a heart rate of 92 beats per minute and a blood pressure of
`88/78` mm Hg. To evaluate the reason for these vital signs, the nurse will assess the patient's:

1. Bleeding: Warfarin is an anticoagulant medication that helps prevent blood clots. However, it can increase the risk of bleeding. The nurse will assess for signs of bleeding such as bruising, petechiae (small red or purple spots on the skin), and bleeding gums.
2. Medication adherence: The patient's vital signs may be influenced by the patient's adherence to the prescribed warfarin regimen. The nurse will ask if the patient has been taking the medication as directed and if there have been any missed doses.
3. Drug interactions: Warfarin can interact with other medications, herbal supplements, and foods. The nurse will review the patient's medication and diet history to identify any potential interactions that could affect the patient's vital signs.