The baseline international normalized ratio (INR) of a client started on warfarin (Coumadin) for atrial fibrillation was 1.2. The nurse notes that the INR value is 2.5 prior to administration of the next dose of medication
Which action by the nurse is the most appropriate?
1. Administer the antidote and observe for bleeding.
2. Notify the health care provider so that the dose can be increased.
3. Administer the medication as ordered.
4. Hold medication and contact the health care provider.
Correct Answer: 3
Rationale 1: The INR is in the therapeutic range.
Rationale 2: The INR is in the therapeutic range, and the warfarin does not need to be increased.
Rationale 3: INR values averaging 2.5 are considered therapeutic for most indications.
Rationale 4: The INR is in the therapeutic range.
Global Rationale: INR values averaging 2.5 are considered therapeutic for most indications. The INR is in the therapeutic range, and the warfarin does not need to be increased.
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