The nurse is planning care for a newly admitted client diagnosed with pulmonary embolism. The nurse anticipates the client will need anticoagulant therapy. What is true regarding this therapy for the treatment of this condition?
A) It is considered second-line treatment.
B) Major hemorrhage is common.
C) Heparin and warfarin (Coumadin) are usually initiated at the same time.
D) Heparin alters the synthesis of vitamin K-dependent clotting factors, preventing further clots.
Answer: C
Heparin and warfarin are usually initiated at the same time for the treatment of pulmonary embolus. Anticoagulant therapy is the standard first-line treatment of pulmonary embolism. While major hemorrhage is uncommon, bleeding may occur. Warfarin, not heparin, alters the synthesis of vitamin K-dependent clotting factors.
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