Difficulty: Medium
Average Score: 67%
Simulated
Passage / Scenario
A nurse is reviewing the medical records of four clients.The nurse should identify that which of the following client findings requires follow-up care?
Correct answer
C
Rationale
The correct answer is C. A client taking warfarin with an INR of 1.8 requires follow-up care as the INR is subtherapeutic, increasing the risk of clot formation. A therapeutic INR for clients on warfarin is typically between 2-3. Options A, B, and D do not require immediate follow-up care. A potassium level of 3.6 mEq/L is within the normal range. Sodium phosphate for a colonoscopy preparation is appropriate. An induration after a Mantoux test is an expected finding.