Question

The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider?

The INR is 3.0.

The peripheral IV site has been oozing blood.

The aPTT is 30.

The client has cola-colored urine.

Answer 1

The nurse should report the finding of cola-colored urine to the healthcare provider.

Step-by-step explanation:

The nurse should report the finding of cola-colored urine to the healthcare provider.

Warfarin is an anticoagulant drug used to prevent blood clotting in patients with mechanical heart valves. Cola-colored urine can be a sign of hematuria, which is the presence of blood in the urine.

This finding may indicate a potential complication of warfarin therapy, such as bleeding or hemorrhage, and should be reported to the healthcare provider for further evaluation and management.