RNSG 2539 LATEST EXAM Questions and
Verified Answers| Updated
What lab testing results are indicative of DIC?
-Prothrombin Time (PT)
-partial thromboplastin time (PTT)
-Activated Partial Thromboplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: - fibrinogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated
intravascular coagulation (DIC). Which of the following would the nurse interpret as indicative
of this disorder?
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets
C) Positive fibrin split products
,The nurse is caring for a postpartum patient admitted to the intensive care unit with a
diagnosis of disseminated intravascular coagulation (DIC). What is the drug of choice to treat
this problem?
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin
A.) Heparin
In the ICU, a postsurgical client has developed sepsis and is being treated with multiple
medications. During the mid-morning assessment, which finding leads the nurse to suspect
the client may be developing a complication called disseminated intravascular coagulation
(DIC)? Select all that apply.
A) Headaches associated with light sensitivity
B) Oozing from all previous puncture and intravenous sites
C) Decreased O2 saturation and diminished breath sounds in lower lobes
D) Hemorrhage from the surgical site requiring deep pressure dressings
E) Urine from the Foley catheter is bloody
D) Hemorrhage from the surgical site requiring deep pressure dressings
A healthy, primiparous (first-time) mother delivered a healthy infant several hours ago, but
the mother has experienced postpartum hemorrhage. Which of the following disorders is
most likely to underlie the client's excessive bleeding after delivery?
A) Disseminated intravascular coagulation
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpura (TTP)
A) Disseminated intravascular coagulation
,What is the concept behind heparin for PT with DIC?
-It prevents the clotting phase from being completed which inhibits the breakdown of
fibrinogen.
- It also helps avoid hemorrhage by preventing the body from depleting entire stage of
coagulation factors.
What are some acute clinical manifestations of DIC?
-Directly related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging?
-Tissue factors released from necrotic place/fetal tissue or amniotic fluid my enter the
circulation, inciting DIC.
What is a common cause of DIC?
-Sepsis
A patient with DIC is at a higher risk for what?
-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________
will be noted in DIC:
-Fibrinolysin, fibrinopeptide A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply:
- abruptio placentae
, -Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
- hydatidiform mole
-Gynecologic Malignancies
DIC can be decreased as a loss of balance between what two activities?
-Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply:
-Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
-Antithrombin concentrate
-Nonclotting Protein- containing volume will expand like: plasma protein fraction or albumin
How does Heparin work in the circulatory system?
-Inhibits thrombus and clot production by blocking the conversion of prothrombin to thrombin
& fibrinogen to fibrin.
What are some adverse effects of Heparin? Select all that apply:
-Loss of hair
-Bruising
Verified Answers| Updated
What lab testing results are indicative of DIC?
-Prothrombin Time (PT)
-partial thromboplastin time (PTT)
-Activated Partial Thromboplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: - fibrinogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated
intravascular coagulation (DIC). Which of the following would the nurse interpret as indicative
of this disorder?
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets
C) Positive fibrin split products
,The nurse is caring for a postpartum patient admitted to the intensive care unit with a
diagnosis of disseminated intravascular coagulation (DIC). What is the drug of choice to treat
this problem?
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin
A.) Heparin
In the ICU, a postsurgical client has developed sepsis and is being treated with multiple
medications. During the mid-morning assessment, which finding leads the nurse to suspect
the client may be developing a complication called disseminated intravascular coagulation
(DIC)? Select all that apply.
A) Headaches associated with light sensitivity
B) Oozing from all previous puncture and intravenous sites
C) Decreased O2 saturation and diminished breath sounds in lower lobes
D) Hemorrhage from the surgical site requiring deep pressure dressings
E) Urine from the Foley catheter is bloody
D) Hemorrhage from the surgical site requiring deep pressure dressings
A healthy, primiparous (first-time) mother delivered a healthy infant several hours ago, but
the mother has experienced postpartum hemorrhage. Which of the following disorders is
most likely to underlie the client's excessive bleeding after delivery?
A) Disseminated intravascular coagulation
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpura (TTP)
A) Disseminated intravascular coagulation
,What is the concept behind heparin for PT with DIC?
-It prevents the clotting phase from being completed which inhibits the breakdown of
fibrinogen.
- It also helps avoid hemorrhage by preventing the body from depleting entire stage of
coagulation factors.
What are some acute clinical manifestations of DIC?
-Directly related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging?
-Tissue factors released from necrotic place/fetal tissue or amniotic fluid my enter the
circulation, inciting DIC.
What is a common cause of DIC?
-Sepsis
A patient with DIC is at a higher risk for what?
-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________
will be noted in DIC:
-Fibrinolysin, fibrinopeptide A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply:
- abruptio placentae
, -Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
- hydatidiform mole
-Gynecologic Malignancies
DIC can be decreased as a loss of balance between what two activities?
-Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply:
-Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
-Antithrombin concentrate
-Nonclotting Protein- containing volume will expand like: plasma protein fraction or albumin
How does Heparin work in the circulatory system?
-Inhibits thrombus and clot production by blocking the conversion of prothrombin to thrombin
& fibrinogen to fibrin.
What are some adverse effects of Heparin? Select all that apply:
-Loss of hair
-Bruising
