A client receiving heparin has a platelet count drop from 220,000/mm³ to 90,000/mm³. What is the nurse’s priority action?

Question

Accepted Answer

B. Stop heparin and notify the provider — A significant platelet drop on heparin suggests HIT, a prothrombotic complication. Stop heparin, notify the provider, and anticipate alternative anticoagulation per orders.

Answer

A. Continue heparin because low platelets reduce clotting risk

Answer

C. Give an IM injection to prevent thrombosis

Answer

D. Administer vitamin K