RNSG 2539 EXAM 2 AND RNSG 2539 EXAM 3 WITH 200 AND 80 EXAM QUESTIONS AND CORRECT ANSWERS RESPECTIVELY LATEST RNSG 2539 EXAM PREP TEST BANK 2025 (BRAND NEW!)

RNSGg2539gEXAMg2gLATESTg2023-
2024gACTUALgEXAMg220gQUESTIONSgANDgCORRECTgDETAIL
EDgANSWERSg(VERIFIEDgANSWERS)g|ALREADYgGRADEDgA+
Thegnursegisgreviewinggtheglaboratorygtestgresultsgofgagchildgdiagnosedgwithgdisseminatedgintravascular
gcoagulationg(DIC).gWhichgofgthegfollowinggwouldgthegnurseginterpretgasgindicativegofgthisgdisorder?


A) Shortenedgprothrombingtime

B) Increasedgfibrinogenglevel

C) Positivegfibringsplitgproducts

D) Increasedgplateletsg-ganswer-C)gPositivegfibringsplitgproducts



Thegnursegisgcaringgforgagpostpartumgpatientgadmittedgtogthegintensivegcaregunitgwithgagdiagnosisgofgdis
seminatedgintravasculargcoagulationg(DIC).gWhatgisgthegdruggofgchoicegtogtreatgthisgproblem?

A. Heparin

B. Urokinase

C. Aspirin

D. Warfaring-ganswer-A.)gHeparin



IngthegICU,gagpostsurgicalgclientghasgdevelopedgsepsisgandgisgbeinggtreatedgwithgmultiplegmedications.gD
uringgthegmid-
morninggassessment,gwhichgfindinggleadsgthegnursegtogsuspectgthegclientgmaygbegdevelopinggagcomplic
ationgcalledgdisseminatedgintravasculargcoagulationg(DIC)?gSelectgallgthatgapply.

A) Headachesgassociatedgwithglightgsensitivity

B) Oozinggfromgallgpreviousgpuncturegandgintravenousgsites

C) DecreasedgO2gsaturationgandgdiminishedgbreathgsoundsginglowerglobes

D) Hemorrhagegfromgthegsurgicalgsitegrequiringgdeepgpressuregdressings

E) UrinegfromgthegFoleygcathetergisgbloodyg-ganswer-
D)gHemorrhagegfromgthegsurgicalgsitegrequiringgdeepgpressuregdressings



Aghealthy,gprimiparousg(first-
time)gmothergdeliveredgaghealthyginfantgseveralghoursgago,gbutgthegmotherghasgexperiencedgpostpartu
mghemorrhage.gWhichgofgthegfollowinggdisordersgisgmostglikelygtogunderliegthegclient'sgexcessivegbleedi
nggaftergdelivery?

A) Disseminatedgintravasculargcoagulation

,B) HemophiliagA

C) VongWillebrandgdisease

D) Thromboticgthrombocytopenicgpurpurag(TTP)g-ganswer-A)gDisseminatedgintravasculargcoagulation



WhatgisgthegconceptgbehindgheparingforgPTgwithgDIC?g-ganswer--
Itgpreventsgthegclottinggphasegfromgbeinggcompletedgwhichginhibitsgthegbreakdowngofgfibrinogen.

-
gItgalsoghelpsgavoidghemorrhagegbygpreventinggthegbodygfromgdepletinggentiregstagegofgcoagulationgfact

ors.



WhatgaregsomegacutegclinicalgmanifestationsgofgDIC?g-ganswer--
Directlygrelatedgtogbleedinggproblemsgsuchgas:

Petechia,gPurpura,goozinggfromgpuncturegsitesgorgsevereghemorrhaging.



HowgdoesgDICghappengingpostpartumghemorrhaging?g-ganswer--
Tissuegfactorsgreleasedgfromgnecroticgplace/fetalgtissuegorgamnioticgfluidgmygentergthegcirculation,ginciti
nggDIC.



WhatgisgagcommongcausegofgDIC?g-ganswer--Sepsis



AgpatientgwithgDICgisgatgaghighergriskgforgwhat?g-ganswer--Deficientgfluidgvolume



Increasedglevelsgofg ,g ,g ,gandg
willgbegnotedgingDIC:g-ganswer--
Fibrinolycin,gfibrinopeptidegA,gpositivegfibringsplitgproductsgandgD-dimers.



DICgcangoccurgsecondarygtogwhatgtypegofgconditions?gSelectgallgthatgapply:g-ganswer--Abrupitoplacente

-Amnioticgfluidgembolism

-Endotoxingsepsis

-Retainedgdeadgfetus

-Postghemorrhagegshock

-Hydatidformmole

-GynecologicgMalinganries

,DICgcangbegdecreasedgasgaglossgofgbalancegbetweengwhatgtwogactivities?g-ganswer--
Clotgforminggactivitygofgthrombin

-Clotglysingactivitygofgplasmin



WhatgaregsomegwaysgtogcombatgDIC?gSelectgallgthatgapply:g-ganswer--Anticoagulationgtherapyg(low-
gmoleculargweightgheparin)


-PackedgRBCs

-Plateletgconcentrate

-Antithrombing concentrate

-NonclottinggProtein-gcontaininggvolumegwillgexpandglike:gplasmagproteingfractiongorgalbumin



HowgdoesgHeparingworkgingthegcirculatorygsystem?g-ganswer--
Inhibitsgthrombusgandgclotgproductiongbygblockinggthegconversiongofgprothrombingtogthrombing&gfibro
gengtogfibrin.



WhatgaregsomegadversegeffectsgofgHeparin?gSelectgallgthatgapply:g-ganswer--Lossgofghair

-Bruising

-Chills

-Fever

-Osteoporosis

-Suppressiongofgrenalgfunction



IfgagPTghasgangallergicgreactiongtogHeparin,gwhatgdruggwouldgbegadministeredgasgtreatment?g-ganswer--
gLepiruding(refludan)




IngDIC,gmicroemboligmaygobstructgbloodgvesselsgandgcausegtissueghypoxia/gnecroticgdamagegtogwhichgo
rgangstructures?gSelectgallgthatgapply:g-ganswer--Kidneys

-Heart

-Lungs

-Brain

, ThegtreatmentgofgDICgisgdirectedgtowardgmanaginggwhat?g-ganswer--ThegPrimarygdisease

-Replacinggclottinggcomponents

-Preventinggfurthergactivationgofgclottinggmechanisms



HowgdogyougcorrectgthegclottinggfactorgdeficiencygingDIC?g-ganswer--TransitiongofgFFP

- "g"gplatelets

- "g"gfibrinogengcontaininggcryoprecipitate



HowgdoesgDICginitiategactivationgofgthegextrinsicgpathway?g-ganswer--
Occursgwithgliberationgofgtissuegfactorgandgassociatedgwithgobstetricgcomplications,gtrauma,gbacterialgs
epsisg&gcancer



HowgdoesgDICginitiategactivationgofgthegintrinsicgpathway?g-ganswer--
ActivatedgthroughgextensivegendothelialgdamagegwithgactivationgofgfactorgXII.gThisgresultsgfromgviruses,
ginfections,gimmunegmechanisms,gstasisgofgbloodgorgtemperaturegextremes.




WhatgaregsomegpotentialgtherapiesgtogDICgothergthangHeparin?g-ganswer--
Tissuegfactorgpathwayginhibitors,gantithrombin,gProteingCgconcentrates,g&ganti-
inflammatorygcytokinesglikegINL-I



WhatgaregsomegobstetricgconditionsgthatghavegbeengassociatedgwithgDIC?g-ganswer--
Abrupitogplacentratae

-Deadgfetusgsyndrome

-Pre-eclampsiag&geclampsia

-Amnioticgfluidgembolism



WhatgaregsomegCancersgthatghavegbeengassociatedgwithgDICg?g-ganswer--Metastaticgcancer

-Acutegleukemia



WhatgaregsomeginfectionsgassociationsgwithgDIC?g-ganswer--
Acutegbacterialginfectionsg(meningococalgmeningitis)

-Histoplasmosis,gAspergicrosis