Difficulty: Medium
Average Score: 71%
Simulated
The client is receiving prophylactic low molecular weight heparin. There are no PT/PTT or INR results on the client's chart since admission three (3) days ago. Which action should the nurse implement?
Correct answer
A
Rationale
LMWH (e.g., enoxaparin) does not require PT/PTT/INR monitoring (A); itÔÇÖs administered as ordered. Notifying HCP (B), obtaining labs (C), or holding (D) are unnecessary.