NCLEX-PN

Category - Pharmacological Therapies

A female client who was admitted due to deep vein thrombosis is ready for discharge. The client was infused with an anticoagulant through the IV route during the admission. The physician informs the client that she needs to continue the anticoagulant therapy after discharge. The physician prescribes an anticoagulant administered through the oral route. The nurse expects the physician to order which anticoagulant?
  1. Heparin sulfate
  2. Warfarin (Coumadin)
  3. Protamine sulfate
  4. Vitamin K
Explanation
Answer: B - Warfarin is an anticoagulant administered through the oral route, while heparin is not given orally. Warfarin is commonly prescribed as a maintenance drug. Protamine sulfate is the antidote for heparin sulfate and vitamin K antagonizes the action of the anticoagulant.
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