RNSG 2539 LATEST EXAM – Questions With Accurate
Solutions
Groups
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (228)
What lab testing results are indicative of -Prothrombin Time (PT)
DIC? -partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
,The nurse is reviewing the laboratory C) Positive fibrin split products
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
The nurse is caring for a postpartum A.) Heparin
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
,In the ICU, a postsurgical client has D) Hemorrhage from the surgical site requiring deep
developed sepsis and is being treated pressure dressings
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
A healthy, primiparous (first-time) mother A) Disseminated intravascular coagulation
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)
What is the concept behind heparin for -It prevents the clotting phase from being completed
PT with DIC? 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 -Directly related to bleeding problems such as:
manifestations of DIC? Petechia, Purpura, oozing from puncture sites or severe
hemorrhaging.
How does DIC happen in postpartum -Tissue factors released from necrotic place/fetal tissue
hemorrhaging? 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 -Deficient fluid volume
what?
Increased levels of ____________, _______________, -Fibrinolycin, fibrinopeptide A, positive fibrin split
__________, and ________________ will be noted in products and D-dimers.
DIC:
DIC can occur secondary to what type -Abrupitoplacente
of conditions? Select all that apply: -Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of -Clot forming activity of thrombin
balance between what two activities? -Clot lysin activity of plasmin
Solutions
Groups
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (228)
What lab testing results are indicative of -Prothrombin Time (PT)
DIC? -partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
,The nurse is reviewing the laboratory C) Positive fibrin split products
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
The nurse is caring for a postpartum A.) Heparin
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
,In the ICU, a postsurgical client has D) Hemorrhage from the surgical site requiring deep
developed sepsis and is being treated pressure dressings
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
A healthy, primiparous (first-time) mother A) Disseminated intravascular coagulation
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)
What is the concept behind heparin for -It prevents the clotting phase from being completed
PT with DIC? 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 -Directly related to bleeding problems such as:
manifestations of DIC? Petechia, Purpura, oozing from puncture sites or severe
hemorrhaging.
How does DIC happen in postpartum -Tissue factors released from necrotic place/fetal tissue
hemorrhaging? 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 -Deficient fluid volume
what?
Increased levels of ____________, _______________, -Fibrinolycin, fibrinopeptide A, positive fibrin split
__________, and ________________ will be noted in products and D-dimers.
DIC:
DIC can occur secondary to what type -Abrupitoplacente
of conditions? Select all that apply: -Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of -Clot forming activity of thrombin
balance between what two activities? -Clot lysin activity of plasmin
