A Patient Has Been Prescribed Warfarin (Coumadin)in Addition to a Heparin

question 7

Multiple Choice

A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion.The patient asks the nurse why he has to be on two medications.The nurse's response is based on which rationale?

• A) The oral and injection forms work synergistically.
• B) The combination of heparin and an oral anticoagulant results in fewer adverse effects than heparin used alone.
• C) Oral anticoagulants are used to reach an adequate level of anticoagulation when heparin alone is unable to do so.
• D) Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.

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