In assessing for indications of excessive use of anticoagulants by the client, the nurse monitors for:

a. protein and white blood cells in urine. c. bruising at the site of lab venipuncture.
b. vomiting bile-colored emesis. d. headache and dizziness.


ANS: D

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A Incorrect: This does not indicate increased bleeding.
B Incorrect: This does not indicate increased bleeding.
C Incorrect: This does not indicate increased bleeding, because bruising at the site of lab venipuncture is common in all clients.
D Correct: These indicate changes in neurologic status, a sign of increased bleeding.

Nursing

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