VNSG 2410 Exam 4 VNSG
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VNSG 2410 Exam # 4 Blueprint Rising the Bar:
•Nurse responsibility for Heparin lab work
aPTT, Platelet count
•Lab work to indicate HELLP
-CBC (low platelets, hemolysis)
-Liver Panel (elevated LFTs, bilirubin)
-Coagulation studies (prolonged clotting times)
•Nurse knowledge (Lab values) for thrombocytopenia
Thrombocytopenia is a decreased amount of platelets in the blood (<100,000/mL) due
to lack of production, increased platelet destruction, or due to a medication reaction.
Monitor:
-Platelet count
-Hgb, Hct
-CBC
•Nurse knowledge concerning cause of DIC.
-not an actual disease by a sign of an underlying condition. triggered by sepsis, trauma,
cancer, shock, abruption placenta.
•Treatment for DIC
FFP, IV fluids, Heparin
•Lab test for oral anticoagulant therapy
PT & INR
•Definition of DIC
Disseminated intravascular coagulation is a coagulation disorder that prompts
overstimulation of the normal clotting cascade and results in simultaneous thrombosis
and hemorrhage.
•Nursing priority caring for client with a Blood Transfusion.
-Use a two-person verification process to match the blood
-Only normal saline solution is compatible with blood and plasma products
-RN must spike blood bag
-Monitor the patient closely and adjust the flow rate to no greater than 2 mL/minute for
the first 15 minutes of the transfusion to observe for a possible transfusion reaction.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:12:18 GMT -05:00
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, VNSG 2410 Exam 4 VNSG
/ 2026,
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-If no signs of a reaction appear within 15 minutes, adjust the flow to the ordered
infusion rate, which should be as rapid as the circulatory system can tolerate.
-Acute hemolytic reaction – the nurse should stop the blood, infuse normal saline,
notify blood bank, draw blood and call a physician.
-If the client shows symptoms of respiratory problems (wheezing, coughing, chills,
elevated temperature) think blood reaction stop the blood.
•Nursing observation of after the placenta is delivered.
-Look for consistency of placenta, observe for calcification, observe cord, inspect for
infection
•Nursing responsibilities for client with sickle cell pain (medication that can cause
toxicity)?
-misshaped cells can adhere to the endothelium of small vessels reducing the blood
flow to that area
-If ischemia or infarction results, the patient may have pain, swelling, and fever.
-Cold can aggravate the sickling process because vasoconstriction slows the blood
flow.
-Symptoms and complications of sickle cell result from chronic hemolysis or thrombosis.
-When treating pain DO NOT use Demerol (Meperidine) with sickle cell patients. The
drug is converted in the liver to normeperidine which is toxic to them and can cause
seizures.
-Stem cell transplant may cure sickle cell anemia. However, only available to a small
number of affected patients because of a lack of suitable donor or severe organ
damage
- Transfusion therapy: Transfusion of packed RBCs is highly effective in treating the
acute anemia and other complications. Chronic transfusion therapy may be effective in
preventing or managing complications by keeping the HbS level less than 30%.
•Nursing responsibilities for antiemetic Compazine
Targets the area in brain that controls vomiting
Orthohypotension, SUPINE (IV ONLY) 30 MIN AFTER OBSERVED
Long term CBC and LFT monitored
•What is ESWL?
-Extracorporeal shock-wave lithotripsy – noninvasive procedure used to break up
stones in the kidney. A high energy amplitude of pressure, or shock wave, is generated
by the abrupt release of energy & transmitted through water and soft tissues. When the
shock wave encounters an object of other density – the stone- it fragments and
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:12:18 GMT -05:00
Page 2 of 5 / 2026, featuring
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https://www.cliffsnotes.com//study-notes/24704539
/ 2026,
2410
featuring
Exam real
4accurate
exam-style
answers
questions,
with solution
detailed explanations, and accurate answers with solution
VNSG 2410 Exam # 4 Blueprint Rising the Bar:
•Nurse responsibility for Heparin lab work
aPTT, Platelet count
•Lab work to indicate HELLP
-CBC (low platelets, hemolysis)
-Liver Panel (elevated LFTs, bilirubin)
-Coagulation studies (prolonged clotting times)
•Nurse knowledge (Lab values) for thrombocytopenia
Thrombocytopenia is a decreased amount of platelets in the blood (<100,000/mL) due
to lack of production, increased platelet destruction, or due to a medication reaction.
Monitor:
-Platelet count
-Hgb, Hct
-CBC
•Nurse knowledge concerning cause of DIC.
-not an actual disease by a sign of an underlying condition. triggered by sepsis, trauma,
cancer, shock, abruption placenta.
•Treatment for DIC
FFP, IV fluids, Heparin
•Lab test for oral anticoagulant therapy
PT & INR
•Definition of DIC
Disseminated intravascular coagulation is a coagulation disorder that prompts
overstimulation of the normal clotting cascade and results in simultaneous thrombosis
and hemorrhage.
•Nursing priority caring for client with a Blood Transfusion.
-Use a two-person verification process to match the blood
-Only normal saline solution is compatible with blood and plasma products
-RN must spike blood bag
-Monitor the patient closely and adjust the flow rate to no greater than 2 mL/minute for
the first 15 minutes of the transfusion to observe for a possible transfusion reaction.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:12:18 GMT -05:00
Page 1 of 5 / 2026, featuring
VNSG
real2410
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Exam 4questions, detailed explanations, and accurate answers with solution
https://www.cliffsnotes.com//study-notes/24704539
, VNSG 2410 Exam 4 VNSG
/ 2026,
2410
featuring
Exam real
4accurate
exam-style
answers
questions,
with solution
detailed explanations, and accurate answers with solution
-If no signs of a reaction appear within 15 minutes, adjust the flow to the ordered
infusion rate, which should be as rapid as the circulatory system can tolerate.
-Acute hemolytic reaction – the nurse should stop the blood, infuse normal saline,
notify blood bank, draw blood and call a physician.
-If the client shows symptoms of respiratory problems (wheezing, coughing, chills,
elevated temperature) think blood reaction stop the blood.
•Nursing observation of after the placenta is delivered.
-Look for consistency of placenta, observe for calcification, observe cord, inspect for
infection
•Nursing responsibilities for client with sickle cell pain (medication that can cause
toxicity)?
-misshaped cells can adhere to the endothelium of small vessels reducing the blood
flow to that area
-If ischemia or infarction results, the patient may have pain, swelling, and fever.
-Cold can aggravate the sickling process because vasoconstriction slows the blood
flow.
-Symptoms and complications of sickle cell result from chronic hemolysis or thrombosis.
-When treating pain DO NOT use Demerol (Meperidine) with sickle cell patients. The
drug is converted in the liver to normeperidine which is toxic to them and can cause
seizures.
-Stem cell transplant may cure sickle cell anemia. However, only available to a small
number of affected patients because of a lack of suitable donor or severe organ
damage
- Transfusion therapy: Transfusion of packed RBCs is highly effective in treating the
acute anemia and other complications. Chronic transfusion therapy may be effective in
preventing or managing complications by keeping the HbS level less than 30%.
•Nursing responsibilities for antiemetic Compazine
Targets the area in brain that controls vomiting
Orthohypotension, SUPINE (IV ONLY) 30 MIN AFTER OBSERVED
Long term CBC and LFT monitored
•What is ESWL?
-Extracorporeal shock-wave lithotripsy – noninvasive procedure used to break up
stones in the kidney. A high energy amplitude of pressure, or shock wave, is generated
by the abrupt release of energy & transmitted through water and soft tissues. When the
shock wave encounters an object of other density – the stone- it fragments and
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:12:18 GMT -05:00
Page 2 of 5 / 2026, featuring
VNSG
real2410
exam-style
Exam 4questions, detailed explanations, and accurate answers with solution
https://www.cliffsnotes.com//study-notes/24704539
