Stroke and Cerebrovascular Disorders · NCLEX Exam

If a client's international normalized ratio (INR) is 3.0 while on warfarin for stroke prevention, what should the nurse do?

  1. Hold warfarin and administer vitamin K immediately
  2. Continue warfarin and notify the provider if bleeding occurs
  3. Double the warfarin dose to keep INR higher
  4. Switch to aspirin monotherapy
Show answer and explanation

Correct answer: Continue warfarin and notify the provider if bleeding occurs

An INR of 3.0 may be therapeutic depending on indication; the nurse should monitor and report bleeding rather than automatically hold medication.

Difficulty: Medium Question 13 of 20

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