A patient who has been receiving a heparin infusion is diagnosed with heparin-induced thrombocytopenia (HIT). The nurse will anticipate which health care provider orders?

A. Administer iron supplements: Iron supplementation addresses anemia due to iron deficiency but does not treat the underlying immune-mediated platelet destruction or thrombotic risk associated with heparin-induced thrombocytopenia (HIT). It is not a priority intervention in this condition. B. Use saline for flushing IV lines and IV ports: In HIT, all heparin products, including heparin flushes, must be avoided to prevent further immune-mediated platelet activation and thrombosis. Saline flushes are used as a safe alternative to maintain IV patency without exposing the patient to additional heparin. C. Give low-molecular-weight heparin (LMWH): LMWH is structurally similar to unfractionated heparin and can cross-react in patients with HIT, potentially worsening thrombocytopenia and thrombotic complications. It is contraindicated in this situation. D. Administer platelet transfusions: Platelet transfusions are generally avoided in HIT because adding platelets can fuel thrombus formation, increasing the risk of life-threatening clotting events. They are reserved for severe bleeding or procedural needs only.