The nurse is assigned to a client taking coumadin. Prior to giving the client’s dose of coumadin, the nurse notes that the client’s INR is 2.2. Which of the following actions is appropriate?

• Skip this dose and resume the next dose as scheduled.
• Clarify with the client whether he would normally take the dose with this INR level.
• Give the dose as ordered.
• Hold the dose and contact the provider for clarification.