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A nurse is caring for a 39-year-old female client on a medical-surgical floor. The interdisciplinary team has determined that the client is at a risk for the development of a pulmonary embolism and has therefore implemented prophylactic measures. The client is prescribed Warfarin therapy for its anticoagulant effects. Based on the nurse's understanding of the drug, the nurse confirms that the drug has reached a therapeutic level when which of the following coagulation results are obtained?The client's baseline coagulation studies:Activated partial thromboplastin time (aPTT): 30 secondsInternational normalized ratio (INR): 1.5Prothrombin time (PT): 10 secondsCassidy RhodyID: 112703Question 6Select one:1.PT 7 seconds, INR 2.52.PT 19 seconds, INR 2.03.PT 25 seconds, INR 2.14.aPTT 35 seconds, INR 3.0

Question

A nurse is caring for a 39-year-old female client on a medical-surgical floor. The interdisciplinary team has determined that the client is at a risk for the development of a pulmonary embolism and has therefore implemented prophylactic measures. The client is prescribed Warfarin therapy for its anticoagulant effects. Based on the nurse's understanding of the drug, the nurse confirms that the drug has reached a therapeutic level when which of the following coagulation results are obtained?The client's baseline coagulation studies:Activated partial thromboplastin time (aPTT): 30 secondsInternational normalized ratio (INR): 1.5Prothrombin time (PT): 10 secondsCassidy RhodyID: 112703Question 6Select one:1.PT 7 seconds, INR 2.52.PT 19 seconds, INR 2.03.PT 25 seconds, INR 2.14.aPTT 35 seconds, INR 3.0

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Solution

The therapeutic level of Warfarin is typically reflected by an International Normalized Ratio (INR) of 2.0 to 3.0 for basic anticoagulation needs. Therefore, the correct answer would be option 2: PT 19 seconds, INR 2.0. This indicates that the Warfarin has thinned the client's blood to a level that is therapeutic, reducing the risk of a pulmonary embolism.

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