Difficulty: Medium
Average Score: 75%
Simulated
The nurse is caring for a client receiving a continuous infusion of heparin and warfarin. Based on the client's laboratory data, the nurse should take which action? See the image below.
Correct answer
B
Rationale
Without specific lab data, stopping heparin is likely if INR is therapeutic (e.g., 2-3 for warfarin), as concurrent heparin and warfarin are typically transitioned. Documenting, holding warfarin, or giving Vitamin K depend on specific INR values.