Question

For a client on heparin therapy with hematuria and PTT of 96 seconds, what action should the nurse take?

a) Administer vitamin K
b) Administer protamine sulfate
c) Withhold the next dose of heparin
d) Increase the heparin infusion rate

Answer 1

The nurse should withhold the next dose of heparin.

Step-by-step explanation:

Option C, withhold the next dose of heparin, is the correct action for the nurse to take when a client on heparin therapy presents with hematuria and a prolonged partial thromboplastin time (PTT) of 96 seconds. Hematuria, or blood in the urine, is an adverse reaction associated with heparin therapy, and a prolonged PTT indicates that the client is at risk for bleeding. Withholding the next dose of heparin helps prevent further bleeding complications.