RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time
(aPTT)
-Bleeding Time
What lab testing results are indicative of
-Thrombin Time
DIC?
Decrease levels: -Fibrogen
-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 disor-
der? C) Positive fibrin split products
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets
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
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin
In the ICU, a postsurgical client has
developed sepsis and is being treat-
ed with multiple medications. During the
mid-morning assessment, which finding
leads the nurse to suspect the client
may be developing a complication called
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
disseminated intravascular coagulation
(DIC)? Select all that apply.
A) Headaches associated with light sen-
sitivity
B) Oozing from all previous puncture and
D) Hemorrhage from the surgical site re-
intravenous sites
quiring deep pressure dressings
C) Decreased O2 saturation and dimin-
ished breath sounds in lower lobes
D) Hemorrhage from the surgical site re-
quiring deep pressure dressings
E) Urine from the Foley catheter is
bloody
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 un-
derlie the client's excessive bleeding af-
ter delivery? A) Disseminated intravascular coagula-
tion
A) Disseminated intravascular coagula-
tion
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpu-
ra (TTP)
-It prevents the clotting phase from being
completed which inhibits the breakdown
What is the concept behind heparin for of fibrinogen.
PT with DIC? - It also helps avoid hemorrhage by pre-
venting the body from depleting entire
stage of coagulation factors.
-Directly related to bleeding problems
What are some acute clinical manifesta- such as:
tions of DIC? Petechia, Purpura, oozing from puncture
sites or severe hemorrhaging.
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
-Tissue factors released from necrotic
How does DIC happen in postpartum he-
place/fetal tissue or amniotic fluid my en-
morrhaging?
ter 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
_______________, __________, and
fibrin split products and D-dimers.
________________ will be noted in DIC:
-Abrupitoplacente
-Amniotic fluid embolism
-Endotoxin sepsis
DIC can occur secondary to what type of
-Retained dead fetus
conditions? Select all that apply:
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of bal- -Clot forming activity of thrombin
ance between what two activities? -Clot lysin activity of plasmin
-Anticoagulation therapy (low-molecular
weight heparin)
-Packed RBCs
What are some ways to combat DIC? -Platelet concentrate
Select all that apply: -Antithrombin concentrate
-Nonclotting Protein- containing volume
will expand like: plasma protein fraction
or albumin
-Inhibits thrombus and clot production by
How does Heparin work in the circulatory
blocking the conversion of prothrombin to
system?
thrombin & fibrogen to fibrin.
-Loss of hair
-Bruising
What are some adverse effects of He- -Chills
parin? Select all that apply: -Fever
-Osteoporosis
-Suppression of renal function
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
If a PT has an allergic reaction to He-
parin, what drug would be administered - Lepirudin (refludan)
as treatment?
In DIC, microemboli may obstruct blood -Kidneys
vessels and cause tissue hypoxia/ -Heart
necrotic damage to which organ struc- -Lungs
tures? Select all that apply: -Brain
-The Primary disease
The treatment of DIC is directed toward -Replacing clotting components
managing what? -Preventing further activation of clotting
mechanisms
-Transition of FFP
How do you correct the clotting factor
- " " platelets
deficiency in DIC?
- " " fibrinogen containing cryoprecipitate
-Occurs with liberation of tissue factor
How does DIC initiate activation of the
and associated with obstetric complica-
extrinsic pathway?
tions, trauma, bacterial sepsis & cancer
-Activated through extensive endothelial
damage with activation of factor XII. This
How does DIC initiate activation of the
results from viruses, infections, immune
intrinsic pathway?
mechanisms, stasis of blood or tempera-
ture extremes.
-Tissue factor pathway inhibitors, an-
What are some potential therapies to
tithrombin, Protein C concentrates, &
DIC other than Heparin?
anti-inflammatory cytokines like INL-I
-Abrupito placentratae
What are some obstetric conditions that -Dead fetus syndrome
have been associated with DIC? -Pre-eclampsia & eclampsia
-Amniotic fluid embolism
What are some Cancers that have been -Metastatic cancer
associated with DIC ? -Acute leukemia
-Acute bacterial infections (meningoco-
cal meningitis)
What are some infections associations
-Histoplasmosis, Aspergicrosis
with DIC?
-Ricketsial Infections (rocky mountain
spotted fever)
Study online at https://quizlet.com/_hm0oh8
-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time
(aPTT)
-Bleeding Time
What lab testing results are indicative of
-Thrombin Time
DIC?
Decrease levels: -Fibrogen
-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 disor-
der? C) Positive fibrin split products
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets
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
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin
In the ICU, a postsurgical client has
developed sepsis and is being treat-
ed with multiple medications. During the
mid-morning assessment, which finding
leads the nurse to suspect the client
may be developing a complication called
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
disseminated intravascular coagulation
(DIC)? Select all that apply.
A) Headaches associated with light sen-
sitivity
B) Oozing from all previous puncture and
D) Hemorrhage from the surgical site re-
intravenous sites
quiring deep pressure dressings
C) Decreased O2 saturation and dimin-
ished breath sounds in lower lobes
D) Hemorrhage from the surgical site re-
quiring deep pressure dressings
E) Urine from the Foley catheter is
bloody
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 un-
derlie the client's excessive bleeding af-
ter delivery? A) Disseminated intravascular coagula-
tion
A) Disseminated intravascular coagula-
tion
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpu-
ra (TTP)
-It prevents the clotting phase from being
completed which inhibits the breakdown
What is the concept behind heparin for of fibrinogen.
PT with DIC? - It also helps avoid hemorrhage by pre-
venting the body from depleting entire
stage of coagulation factors.
-Directly related to bleeding problems
What are some acute clinical manifesta- such as:
tions of DIC? Petechia, Purpura, oozing from puncture
sites or severe hemorrhaging.
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
-Tissue factors released from necrotic
How does DIC happen in postpartum he-
place/fetal tissue or amniotic fluid my en-
morrhaging?
ter 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
_______________, __________, and
fibrin split products and D-dimers.
________________ will be noted in DIC:
-Abrupitoplacente
-Amniotic fluid embolism
-Endotoxin sepsis
DIC can occur secondary to what type of
-Retained dead fetus
conditions? Select all that apply:
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of bal- -Clot forming activity of thrombin
ance between what two activities? -Clot lysin activity of plasmin
-Anticoagulation therapy (low-molecular
weight heparin)
-Packed RBCs
What are some ways to combat DIC? -Platelet concentrate
Select all that apply: -Antithrombin concentrate
-Nonclotting Protein- containing volume
will expand like: plasma protein fraction
or albumin
-Inhibits thrombus and clot production by
How does Heparin work in the circulatory
blocking the conversion of prothrombin to
system?
thrombin & fibrogen to fibrin.
-Loss of hair
-Bruising
What are some adverse effects of He- -Chills
parin? Select all that apply: -Fever
-Osteoporosis
-Suppression of renal function
, RNSG 2539 LATEST EXAM
Study online at https://quizlet.com/_hm0oh8
If a PT has an allergic reaction to He-
parin, what drug would be administered - Lepirudin (refludan)
as treatment?
In DIC, microemboli may obstruct blood -Kidneys
vessels and cause tissue hypoxia/ -Heart
necrotic damage to which organ struc- -Lungs
tures? Select all that apply: -Brain
-The Primary disease
The treatment of DIC is directed toward -Replacing clotting components
managing what? -Preventing further activation of clotting
mechanisms
-Transition of FFP
How do you correct the clotting factor
- " " platelets
deficiency in DIC?
- " " fibrinogen containing cryoprecipitate
-Occurs with liberation of tissue factor
How does DIC initiate activation of the
and associated with obstetric complica-
extrinsic pathway?
tions, trauma, bacterial sepsis & cancer
-Activated through extensive endothelial
damage with activation of factor XII. This
How does DIC initiate activation of the
results from viruses, infections, immune
intrinsic pathway?
mechanisms, stasis of blood or tempera-
ture extremes.
-Tissue factor pathway inhibitors, an-
What are some potential therapies to
tithrombin, Protein C concentrates, &
DIC other than Heparin?
anti-inflammatory cytokines like INL-I
-Abrupito placentratae
What are some obstetric conditions that -Dead fetus syndrome
have been associated with DIC? -Pre-eclampsia & eclampsia
-Amniotic fluid embolism
What are some Cancers that have been -Metastatic cancer
associated with DIC ? -Acute leukemia
-Acute bacterial infections (meningoco-
cal meningitis)
What are some infections associations
-Histoplasmosis, Aspergicrosis
with DIC?
-Ricketsial Infections (rocky mountain
spotted fever)
