QuestionMay 28, 2025

An international normalized ratio (INR) is performed each afternoon for a status following total knee replacement for a client who is on warfarin, and the evening dose is prescribed by the health care provider on a daily basis The nurse identifies that the afternoon INR is 4.6. Which initial action would the nurse take? Prepare to administer phytonadione Obtain a blood specimen to have a partial thromboplastin time performed Assist with meal planning to increase the intake of foods high in vitamin K Maintain bed rest until the health care provider reviews the laboratory results

An international normalized ratio (INR) is performed each afternoon for a status following total knee replacement for a client who is on warfarin, and the evening dose is prescribed by the health care provider on a daily basis The nurse identifies that the afternoon INR is 4.6. Which initial action would the nurse take? Prepare to administer phytonadione Obtain a blood specimen to have a partial thromboplastin time performed Assist with meal planning to increase the intake of foods high in vitamin K Maintain bed rest until the health care provider reviews the laboratory results
An international normalized ratio (INR) is performed each afternoon for a status following
total knee replacement for a client who is on warfarin, and the evening dose is prescribed by
the health care provider on a daily basis The nurse identifies that the afternoon INR is 4.6.
Which initial action would the nurse take?
Prepare to administer phytonadione
Obtain a blood specimen to have a partial thromboplastin time performed
Assist with meal planning to increase the intake of foods high in vitamin K
Maintain bed rest until the health care provider reviews the laboratory results

Solution
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Answer

Prepare to administer phytonadione Explanation 1. Assess INR Value The INR value of 4.6 is above the therapeutic range for patients on warfarin, indicating a risk of bleeding. 2. Determine Immediate Action Administering phytonadione (vitamin K) is appropriate to counteract the effects of warfarin and reduce INR quickly.

Explanation

1. Assess INR Value<br /> The INR value of 4.6 is above the therapeutic range for patients on warfarin, indicating a risk of bleeding.<br /><br />2. Determine Immediate Action<br /> Administering phytonadione (vitamin K) is appropriate to counteract the effects of warfarin and reduce INR quickly.
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