The health care provider has prescribed the client with a deep vein thrombosis to be started on oral warfarin while still receiving intravenous heparin. What is the nurse's best action?
A. Administer the medications as prescribed.
B. Turn off the heparin drip for 1 hour before administration of the warfarin.
C. Discontinue the heparin drip completely before warfarin administration.
D. Hold the dose of warfarin, because two anticoagulants cannot be given concur-rently.
A
Although both heparin and warfarin are anticoagulants, they have different mechanisms of action and onsets of action. Because warfarin has such a slow onset, it must be started while the client is still receiving heparin.
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