RNSG 2539 Exam 2 Questions With Correct
Answers
What lab testing results are indicative of DIC? - CORRECT ANSWER✔✔--
| | | | | | | | | |
Prothrombin Time (PT) | |
-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 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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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) - CORRECT ANSWER✔✔-A)
| | | | | | | |
Disseminated intravascular coagulation | |
What is the concept behind heparin for PT with DIC? - CORRECT ANSWER✔✔--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? - CORRECT ANSWER✔✔--
| | | | | | | | | |
Directly related to bleeding problems such as:
| | | | | |
| Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
| | | | | | | |
How does DIC happen in postpartum hemorrhaging? - CORRECT ANSWER✔✔--
| | | | | | | | |
Tissue factors released from necrotic place/fetal tissue or amniotic fluid my enter
| | | | | | | | | | | |
the circulation, inciting DIC.
| | |
What is a common cause of DIC? - CORRECT ANSWER✔✔--Sepsis
| | | | | | | | |
A patient with DIC is at a higher risk for what? - CORRECT ANSWER✔✔--Deficient
| | | | | | | | | | | | | |
fluid volume |
, Increased levels of ____________, _______________, __________, and
| | | | | | |
________________ will be noted in DIC: - CORRECT ANSWER✔✔--Fibrinolycin, | | | | | | | | |
fibrinopeptide A, positive fibrin split products and D-dimers.
| | | | | | |
DIC can occur secondary to what type of conditions? Select all that apply: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Abrupitoplacente
| |
-Amniotic fluid embolism | |
-Endotoxin sepsis |
-Retained dead fetus | |
-Post hemorrhage shock
| |
-Hydatidformmole |
-Gynecologic Malinganries |
DIC can be decreased as a loss of balance between what two activities? -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Clot forming activity of thrombin
| | | | |
-Clot lysin activity of plasmin
| | | |
What are some ways to combat DIC? Select all that apply: - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔--Anticoagulation therapy (low-molecular weight heparin) | | | |
-Packed RBCs |
-Platelet concentrate |
-Antithrombin concentrate |
-Nonclotting Protein- containing volume will expand like: plasma protein fraction
| | | | | | | | | |
or albumin
|
Answers
What lab testing results are indicative of DIC? - CORRECT ANSWER✔✔--
| | | | | | | | | |
Prothrombin Time (PT) | |
-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 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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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) - CORRECT ANSWER✔✔-A)
| | | | | | | |
Disseminated intravascular coagulation | |
What is the concept behind heparin for PT with DIC? - CORRECT ANSWER✔✔--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? - CORRECT ANSWER✔✔--
| | | | | | | | | |
Directly related to bleeding problems such as:
| | | | | |
| Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
| | | | | | | |
How does DIC happen in postpartum hemorrhaging? - CORRECT ANSWER✔✔--
| | | | | | | | |
Tissue factors released from necrotic place/fetal tissue or amniotic fluid my enter
| | | | | | | | | | | |
the circulation, inciting DIC.
| | |
What is a common cause of DIC? - CORRECT ANSWER✔✔--Sepsis
| | | | | | | | |
A patient with DIC is at a higher risk for what? - CORRECT ANSWER✔✔--Deficient
| | | | | | | | | | | | | |
fluid volume |
, Increased levels of ____________, _______________, __________, and
| | | | | | |
________________ will be noted in DIC: - CORRECT ANSWER✔✔--Fibrinolycin, | | | | | | | | |
fibrinopeptide A, positive fibrin split products and D-dimers.
| | | | | | |
DIC can occur secondary to what type of conditions? Select all that apply: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Abrupitoplacente
| |
-Amniotic fluid embolism | |
-Endotoxin sepsis |
-Retained dead fetus | |
-Post hemorrhage shock
| |
-Hydatidformmole |
-Gynecologic Malinganries |
DIC can be decreased as a loss of balance between what two activities? -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔--Clot forming activity of thrombin
| | | | |
-Clot lysin activity of plasmin
| | | |
What are some ways to combat DIC? Select all that apply: - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔--Anticoagulation therapy (low-molecular weight heparin) | | | |
-Packed RBCs |
-Platelet concentrate |
-Antithrombin concentrate |
-Nonclotting Protein- containing volume will expand like: plasma protein fraction
| | | | | | | | | |
or albumin
|
