What statement indicates a client on dabigatran needs further teaching?

The statement indicating that a client on dabigatran needs further teaching is the one about placing capsules in a pill box. This raises concerns because dabigatran capsules should not be opened, crushed, or chewed. Doing so can alter the medication’s pharmacokinetics, potentially leading to decreased effectiveness or an increased risk of side effects. Therefore, it is essential for clients to take the capsules whole to ensure the proper release and absorption of the medication in the body.

The other statements reflect appropriate understanding and management of dabigatran. Calling a healthcare provider for red urine or blood in the stool shows awareness of potential bleeding risks associated with anticoagulants. Not stopping the medication despite a stomachache demonstrates an understanding of the importance of adherence to treatment, while the instruction to swallow the capsule whole with water emphasizes the correct administration method for the medication.