medium · NCLEX-RN Safety and Infection Prevention and Control
A client is being treated for a deep vein thrombosis with a continuous heparin infusion. The current aPTT is 110 seconds (Reference: 30-40 seconds; Therapeutic: 1.5-2.5 times reference).
Which action should the RN take first?
- Administer protamine sulfate IV push as an antidote.
- Stop the infusion and assess the client for signs of bleeding.
- Draw a repeat aPTT from the opposite arm to verify the result.
- Decrease the infusion rate by 200 units/hour per the protocol.
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