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A Client Is Receiving a Continuous Heparin Infusion and the Most

Question 192

Multiple Choice

A client is receiving a continuous heparin infusion and the most recent aPTT is 140 seconds.  The nurse notices blood oozing at the surgical incision and IV insertion sites.  What interventions should the nurse implement?  Select all that apply.


A) Continue heparin infusion and recheck aPTT in 6 hours
B) Prepare to administer vitamin K
C) Redraw blood for laboratory tests
D) Review guidelines for administration of protamine
E) Stop infusion of heparin and notify the health care provider (HCP)

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