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Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to confidentiality and hipaa. The nurse reviews this trend: INR increasing from 2.0 to 4.5 without active bleeding. Which interpretation and action are most appropriate?

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Answer and explanation

Correct answer

B. Interpret the trend in context, compare it with baseline or benchmarks, and take the safest indicated action.

Why

Trend questions require comparison with baseline, symptoms, risk, and benchmarks. Safe nursing action begins before a preventable event becomes critical.

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