The nurse is caring for a client receiving heparin and warfarin therapy for a pulmonary embolus. The client's international normalized ratio (INR) is 2.0 . What is the nurse's best action?
a. Increase the heparin dose.
b. Increase the warfarin dose.
c. Continue the current therapy.
d. Discontinue the heparin.
D
The client who is being treated for pulmonary embolism usually continues on heparin and warfa-rin until the INR reaches a therapeutic level between 2 and 3 . Heparin can then be discontinued because warfarin is therapeutic.
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