What should be the next step if a patient has a large blood clot one day after an extraction?

When a patient has a large blood clot one day after an extraction, the most appropriate next step is to remove the clot, apply pressure with gauze, and evaluate the situation. This approach is critical because the presence of a large blood clot could interfere with normal healing and may indicate the potential for complications such as a dry socket or inadequate clot formation.

By removing the clot, the clinician can ensure there are no foreign materials or debris that could complicate the healing process. Applying pressure with gauze helps to stabilize the area and promote hemostasis, which is essential for optimal healing. Evaluating the site also allows the clinician to assess for any additional concerns that might arise, such as signs of infection or issues with blood flow.

The other options, while they may address symptoms or concerns, do not directly address the immediate concern of the large blood clot. Prescribing pain relief medication does not resolve the issue of the clot and may mask symptoms while the underlying problem remains unaddressed. Re-examining for infection risk is important but is secondary to addressing the immediate complication posed by the clot. Waiting for the body to dissolve the clot is not advisable as immediate intervention will facilitate better outcomes and prevent further complications.