A Nurse Assessing a Client on a Heparin Drip Notes

A nurse assessing a client on a heparin drip notes bloody drainage in the nasogastric tube and indwelling urinary catheter. A stat partial thromboplastin time (PTT) is drawn according to heparin protocol. The result is 140 seconds. Which action by the nurse is the most appropriate?

A) Notify the health care provider and prepare to administer protamine sulfate.
B) Stop the infusion, increase the IV rate, and prepare to administer aminocaproic acid (Amicar) .
C) Notify the supervisor and obtain a unit of clotting factors.
D) Call the health care provider and prepare to administer vitamin K.