What condition should a nurse closely monitor in a client receiving anticoagulation therapy?

In clients receiving anticoagulation therapy, the primary concern that nurses need to monitor for is bleeding. Anticoagulants work by inhibiting the blood's ability to clot, which is essential for preventing and treating thromboembolic events. However, this increased risk of bleeding can lead to serious complications, such as internal bleeding, hemorrhagic stroke, or excessive bleeding in any injury.

The monitoring process involves being vigilant for signs and symptoms of bleeding, which may include easy bruising, petechiae (small red or purple spots), prolonged bleeding from cuts, blood in urine or stool, and changes in vital signs that might indicate internal bleeding (such as tachycardia and hypotension).

While hyperglycemia, hypertension, and dehydration can also pose significant health risks in various patient populations, they are not direct consequences of anticoagulation therapy. Therefore, monitoring for bleeding remains paramount to ensure patient safety and effective management of their anticoagulation treatment.