Quick answerFollow the provided nomogram exactly:
hold 30 minutes, reduce 2 units/kg/hr, recheck in 6 hours.
Why this is correctUnfractionated heparin adjustment targets vary by laboratory reagent and institution. The question supplies the controlling protocol, and 96 seconds falls within its defined range.
Easy analogy or mental pictureThe nomogram is the dosing map; the laboratory value tells the nurse which lane to follow.
Memory hookHeparin: value plus local nomogram equals action.NCLEX decision ruleUse an authorized protocol for titratable high-alert infusions and document the adjustment and timed reassessment.
Why the other choices are wrongNo change ignores the protocol, permanent discontinuation exceeds the finding, and a bolus plus rate increase moves in the wrong direction.
References
1DailyMed: Heparin sodium labelsLaboratory-guided individualized dosing and bleeding monitoring