A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation.Which of the following laboratory values should the nurse monitor prior to administering the medication?

Choice A rationale

A capillary refill time of 3 seconds is slightly prolonged but not as concerning as other symptoms. Monitoring is warranted, but it is not an immediate priority.

Choice B rationale

Cool fingers can indicate reduced circulation, but it requires further assessment to determine its significance. Immediate attention is needed if accompanied by other severe symptoms.

Choice C rationale

Severe itching can be uncomfortable and may indicate skin irritation, but it is not typically a medical emergency.

Choice D rationale

Increased pain at the fracture site can indicate complications such as compartment syndrome, which requires immediate medical intervention to prevent permanent damage.

Choice A rationale

Installing grab bars in the shower assists with balance and prevents falls. Grab bars provide stability and support, which is crucial for clients who have had a CVA and may have impaired balance and coordination.

Choice B rationale

Placing a towel in the shower to prevent slipping is not recommended as it can shift and cause more risk. Anti-slip mats or adhesive strips are better options for preventing slips.

Choice C rationale

Hiring a home care aide to perform all ADLs may promote dependency and reduce the client's independence. Encouraging the use of assistive devices and adaptive techniques helps the client regain as much independence as possible.

Choice D rationale

The statement "You will not become fatigued when you use assistive devices" is incorrect. Clients may still experience fatigue, even with assistive devices. It's important to balance activity and rest to prevent overexertion.