Question

The client diagnosed with acute DVT is receiving a continuous heparin drop, an IV anticoagulant. The HCP orders warfarin (Coumadin), an oral anticoagulant. Which action should the nurse take?

a. Discontinue the heparin drip prior to initiating the Coumadin.
b. Check the client's INR prior to beginning Coumadin.
c. Clarify the order with the HCP as soon as possible.
d. Administer the Coumadin along with the heparin drip as ordered.

Answer 1

The nurse should clarify the order with the healthcare provider as soon as possible.

Step-by-step explanation:

The nurse should take action (c) and clarify the order with the healthcare provider as soon as possible. When a client is receiving a continuous IV anticoagulant like heparin, it is important to monitor their blood coagulation levels before initiating an oral anticoagulant like warfarin. The nurse should check the client's INR (international normalized ratio) prior to beginning Coumadin to ensure that the client's blood is at an appropriate level of anticoagulation.