What should a nurse assess for in a client taking anticoagulants?

For a client taking anticoagulants, it is crucial for the nurse to assess for signs of bleeding. Anticoagulants are medications that work by inhibiting the blood's ability to clot, which is essential for preventing the formation of dangerous blood clots but simultaneously increases the risk of uncontrolled bleeding. The nurse should monitor for both external signs of bleeding, such as bruising, nosebleeds, or bleeding gums, and internal signs, which could manifest as black or bloody stools, hematuria (blood in urine), or any unusual swelling that could indicate internal bleeding.

Monitoring for bleeding is vital because early detection and management can prevent more severe complications, including hemorrhagic shock. Patients on anticoagulants often need education on recognizing these signs, as they may not always be aware of the increased risk associated with their medication. The emphasis on assessing for bleeding aligns with the primary concerns related to anticoagulant therapy, which emphasizes safety and risk management in patient care.