What instruction should be given to a nursing assistant caring for a patient receiving anticoagulation therapy?

The appropriate instruction for a nursing assistant caring for a patient receiving anticoagulation therapy is to use a lift sheet when moving the patient. This practice is critical because patients on anticoagulation therapy are at an increased risk for bleeding or injury due to the blood-thinning effects of their medication. Using a lift sheet helps to reposition or move the patient safely and gently, minimizing the risk of falls or trauma that could lead to bleeding.

In contrast, using a rectal thermometer is not advisable for patients on anticoagulants due to the potential for rectal bleeding. Shaving with a standard razor also poses a risk, as it can cause nicks and cuts that could result in excessive bleeding. Finally, encouraging ambulation without proper footwear can lead to slips, trips, or falls, which are particularly dangerous for patients susceptible to bleeding. Hence, using a lift sheet is the most suitable instruction for ensuring the safety and well-being of the patient receiving anticoagulation therapy.