How should the nurse advise a patient with an international normalized ratio (INR) of 5.8?
a. Make arrangements to go to the emergency room immediately
b. Increase fluid intake to 2000 mL/day
c. Stop taking the anticoagulant and notify health care provider
d. Add more leafy green vegetables to patient diet
ANS: C
The INR that is desired should be maintained between 2 and 3. A reading of 5.8 puts the patient at risk for hemorrhage. The patient should stop taking the anticoagulant and contact the physician for further instruction.
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