A 67-year-old client with a mechanical mitral valve takes warfarin and recently started amiodarone. The client has BP 84/48 mm Hg, hemoglobin 7.6 g/dL from 11.9 g/dL, INR 6.8, and an expanding retroperitoneal hematoma. Place the medication-safety actions in order from emergency recognition through the early post-hemostasis plan.

Quick answer
Sequence stabilize, measure, reverse, reassess, and plan.

Why this is correct
The workflow must control life-threatening bleeding without losing the mechanical-valve indication. Current laboratory data and medication timing support reversal, and response data support the later restart decision.

Easy analogy or mental picture
First stop the flooding, then measure and repair it, check the repair, and plan how to protect the valve again.

Memory hook
Stabilize, measure, reverse, reassess, restart-plan.

NCLEX decision rule
The restart decision follows hemostasis evidence; it does not precede emergency bleeding control.

Why the other choices are wrong
Delaying stabilization for consultation or restarting before hemostasis can create avoidable harm.