RNSG 2539 Exam 2
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VATI: NextGen NCLEX Sample Item ... 2539 Exam 2 Review 2 HIT, HELLP, D... NHA MA module 12
7 terms 38 terms 40 terms
lexieleigh122 Preview Lindsey_Olson84 Preview skylandor0101
-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
What lab testing results are -Thrombin Time
indicative of DIC?
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the C) Positive fibrin split products
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
The nurse is caring for a A.) Heparin
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
,In the ICU, a postsurgical client D) Hemorrhage from the surgical site requiring deep pressure
has developed sepsis and is dressings
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
A healthy, primiparous (first- A) Disseminated intravascular coagulation
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)
-It prevents the clotting phase from being completed which
What is the concept behind inhibits the breakdown of fibrinogen.
heparin for PT with DIC? - It also helps avoid hemorrhage by preventing the body from
depleting entire stage of coagulation factors.
-Directly related to bleeding problems such as:
What are some acute clinical
Petechia, Purpura, oozing from puncture sites or severe
manifestations of DIC?
hemorrhaging.
How does DIC happen in -Tissue factors released from necrotic place/fetal tissue or
postpartum hemorrhaging? amniotic fluid my enter the circulation, inciting DIC.
What is a common cause of -Sepsis
DIC?
, A patient with DIC is at a higher -Deficient fluid volume
risk for what?
Increased levels of ____________, -Fibrinolycin, fibrinopeptide A, positive fibrin split products and
_______________, __________, and D-dimers.
________________ will be noted in DIC:
-Abrupitoplacente
-Amniotic fluid embolism
DIC can occur secondary to -Endotoxin sepsis
what type of conditions? Select -Retained dead fetus
all that apply: -Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss -Clot forming activity of thrombin
of balance between what two -Clot lysin activity of plasmin
activities?
-Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
What are some ways to combat -Platelet concentrate
DIC? Select all that apply: -Antithrombin concentrate
-Nonclotting Protein- containing volume will expand like: plasma
protein fraction or albumin
How does Heparin work in the -Inhibits thrombus and clot production by blocking the
circulatory system? conversion of prothrombin to thrombin & fibrogen to fibrin.
-Loss of hair
-Bruising
What are some adverse effects -Chills
of Heparin? Select all that apply: -Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to - Lepirudin (refludan)
Heparin, what drug would be
administered as treatment?
In DIC, microemboli may -Kidneys
obstruct blood vessels and -Heart
cause tissue hypoxia/ necrotic -Lungs
damage to which organ -Brain
structures? Select all that apply:
-The Primary disease
The treatment of DIC is directed
-Replacing clotting components
toward managing what?
-Preventing further activation of clotting mechanisms
-Transition of FFP
How do you correct the clotting
- " " platelets
factor deficiency in DIC?
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation -Occurs with liberation of tissue factor and associated with
of the extrinsic pathway? obstetric complications, trauma, bacterial sepsis & cancer
-Activated through extensive endothelial damage with activation
How does DIC initiate activation
of factor XII. This results from viruses, infections, immune
of the intrinsic pathway?
mechanisms, stasis of blood or temperature extremes.
Save
Students also studied
Flashcard sets Study guides Practice tests
VATI: NextGen NCLEX Sample Item ... 2539 Exam 2 Review 2 HIT, HELLP, D... NHA MA module 12
7 terms 38 terms 40 terms
lexieleigh122 Preview Lindsey_Olson84 Preview skylandor0101
-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
What lab testing results are -Thrombin Time
indicative of DIC?
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the C) Positive fibrin split products
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
The nurse is caring for a A.) Heparin
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
,In the ICU, a postsurgical client D) Hemorrhage from the surgical site requiring deep pressure
has developed sepsis and is dressings
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
A healthy, primiparous (first- A) Disseminated intravascular coagulation
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)
-It prevents the clotting phase from being completed which
What is the concept behind inhibits the breakdown of fibrinogen.
heparin for PT with DIC? - It also helps avoid hemorrhage by preventing the body from
depleting entire stage of coagulation factors.
-Directly related to bleeding problems such as:
What are some acute clinical
Petechia, Purpura, oozing from puncture sites or severe
manifestations of DIC?
hemorrhaging.
How does DIC happen in -Tissue factors released from necrotic place/fetal tissue or
postpartum hemorrhaging? amniotic fluid my enter the circulation, inciting DIC.
What is a common cause of -Sepsis
DIC?
, A patient with DIC is at a higher -Deficient fluid volume
risk for what?
Increased levels of ____________, -Fibrinolycin, fibrinopeptide A, positive fibrin split products and
_______________, __________, and D-dimers.
________________ will be noted in DIC:
-Abrupitoplacente
-Amniotic fluid embolism
DIC can occur secondary to -Endotoxin sepsis
what type of conditions? Select -Retained dead fetus
all that apply: -Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss -Clot forming activity of thrombin
of balance between what two -Clot lysin activity of plasmin
activities?
-Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
What are some ways to combat -Platelet concentrate
DIC? Select all that apply: -Antithrombin concentrate
-Nonclotting Protein- containing volume will expand like: plasma
protein fraction or albumin
How does Heparin work in the -Inhibits thrombus and clot production by blocking the
circulatory system? conversion of prothrombin to thrombin & fibrogen to fibrin.
-Loss of hair
-Bruising
What are some adverse effects -Chills
of Heparin? Select all that apply: -Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to - Lepirudin (refludan)
Heparin, what drug would be
administered as treatment?
In DIC, microemboli may -Kidneys
obstruct blood vessels and -Heart
cause tissue hypoxia/ necrotic -Lungs
damage to which organ -Brain
structures? Select all that apply:
-The Primary disease
The treatment of DIC is directed
-Replacing clotting components
toward managing what?
-Preventing further activation of clotting mechanisms
-Transition of FFP
How do you correct the clotting
- " " platelets
factor deficiency in DIC?
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation -Occurs with liberation of tissue factor and associated with
of the extrinsic pathway? obstetric complications, trauma, bacterial sepsis & cancer
-Activated through extensive endothelial damage with activation
How does DIC initiate activation
of factor XII. This results from viruses, infections, immune
of the intrinsic pathway?
mechanisms, stasis of blood or temperature extremes.
