NCLEX · Pharmacological Therapies

A client is prescribed warfarin (an anticoagulant). Which laboratory value is monitored to assess its therapeutic effect?

Correct answer

Prothrombin time (PT) and INR (international normalized ratio)

  1. A Blood glucose
  2. B Prothrombin time (PT) and INR (international normalized ratio)
  3. C Potassium level
  4. D Hemoglobin A1C

Why this is the answer

WARFARIN (Coumadin) is monitored using PROTHROMBIN TIME (PT) and INR (international normalized ratio). NCLEX physiological/pharmacology. The therapeutic INR for most conditions is 2.0-3.0 (higher for some, e.g., mechanical heart valves). A too-high INR means increased bleeding risk; too-low means inadequate anticoagulation. The ANTIDOTE for warfarin is VITAMIN K. TEACHING: maintain consistent vitamin K intake (leafy greens) — don't suddenly change diet; watch for bleeding; many drug/food interactions. CONTRAST: HEPARIN is monitored with aPTT (activated partial thromboplastin time); its antidote is protamine sulfate. Knowing warfarin → PT/INR (vitamin K antidote) and heparin → aPTT (protamine antidote) is a heavily tested NCLEX pharmacology pairing.
Source: NCLEX Physiological — Warfarin Monitoring (PT/INR)