The patient on warfarin has a profusely bloody nose. What should the nurse evaluate first?

In situations involving patients on anticoagulants like warfarin, the priority is to assess the overall state of the patient, especially regarding potential systemic effects of bleeding. By assessing the client for signs of other bleeding first, the nurse can evaluate the severity of the current situation and possible complications. This involves checking for signs such as blood in urine or stool, bruising, or any other areas of bleeding which can indicate a more widespread issue rather than just a localized one.

Understanding the patient's cardiovascular status also plays a crucial role. If the bleeding is significant, it could lead to hypovolemia or shock, which would require immediate intervention. By evaluating the client for additional bleeding signs first, the nurse ensures that any interventions that follow are based on a comprehensive understanding of the patient's condition.

Other actions such as notifying the physician or instructing a UAP for nasal care may be necessary, but they typically follow an initial assessment to inform these next steps effectively. Obtaining a humidifier for oxygen would generally not address the immediate concern of the active bleeding and its implications.