CCRN-K (Adult) Practice Questions - AACN Adult CCRN-K Knowledge Professional Certification Exam

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A patient with NSTEMI is on a heparin infusion. Platelets fall from 220 to 78 (×10^9/L) on day 5 with a new line-tip clot. The MOST appropriate action consistent with CCRN/CCRN-K standards is:

Continue heparin and transfuse platelets Stop heparin, avoid platelet transfusion, and start a non-heparin anticoagulant Restart heparin at a lower dose after platelets recover Switch to LMWH and continue therapy

Correct Answer:

Stop heparin, avoid platelet transfusion, and start a non-heparin anticoagulant

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