medium · NCLEX-RN pharmacology
The nurse is monitoring a client on a heparin infusion with an aPTT of 110 seconds (Reference range: 30-40 seconds; Therapeutic range: 1.5-2.5 x baseline).
What is the nurse's first action?
- Stop the infusion and assess the client for signs of bleeding.
- Wait for the next scheduled aPTT in 6 hours to confirm the trend.
- Increase the infusion rate by 10% to reach the therapeutic goal.
- Document the result and continue the current rate as per the protocol.
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