A client scheduled for surgery tomorrow says, "I took my war… | MyMerci
Postsurgical ComplicationsROR
Question
A client scheduled for surgery tomorrow says, "I took my warfarin this morning like usual." What is the nurse's priority action?
1Notify the surgeon or provider before the procedure.✓ Correct answer
2Tell the client to take an extra dose tonight.
3Document the finding only after surgery is complete.
4Reassure the client that warfarin does not affect surgery.
Explanation
Warfarin increases bleeding risk and must be reported before surgery so the team can evaluate coagulation status and procedure safety. Extra dosing is unsafe. Documentation alone is not enough before an invasive procedure.
In-depth explanation
Clinical Judgment Preoperative medication history can change surgical safety.
Memory Tip Warfarin before surgery: report before incision.
Clinical scenario
Clinical Practice Guide Preoperative assessment includes anticoagulant use, bleeding history, labs, allergies, and medication reconciliation.
Caution Do not assume the surgical team already knows about a recent anticoagulant dose.
Key concepts
Warfarin — An oral anticoagulant that increases bleeding risk.
Medication Reconciliation — Verification of current medications and recent doses.
Bleeding Risk — The likelihood of excessive or uncontrolled bleeding.