CMSN(C)® Practice Questions - CNA Certification - Medical-Surgical Nursing (CMSN(C)) Exam

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A client with atrial fibrillation on warfarin presents with an INR of 6.5 and reports bleeding gums. The client recently started metronidazole for a dental infection. What is the priority nursing action?

Hold the next warfarin dose, notify the provider, and prepare to administer vitamin K as prescribed Administer the scheduled warfarin dose and reassess the INR in one week Increase the warfarin dose to counteract a presumed dietary vitamin K surge Discontinue the metronidazole immediately and resume the warfarin at the same dose

Correct Answer:

Hold the next warfarin dose, notify the provider, and prepare to administer vitamin K as prescribed

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