1
RNSG 2539 EXAM 2 LATEST ACTUAL
EXAM 228 QUESTIONS AND CORRECT
DETAILED ANSWERS
What lab testing results are indicative of DIC? - (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 - (ANSWER)C) Positive fibrin split products
, 2
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 - (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 - (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
, 3
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) - (ANSWER)A) Disseminated
intravascular coagulation
What is the concept behind heparin for PT with DIC? - (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? - (ANSWER)-Directly related
to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? - (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? - (ANSWER)-Sepsis
, 4
A patient with DIC is at a higher risk for what? - (ANSWER)-Deficient fluid volume
Increased levels of ____________, _______________, __________, and
________________ will be noted in DIC: - (ANSWER)-Fibrinolycin, fibrinopeptide
A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: -
(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? -
(ANSWER)-Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - (ANSWER)-
Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
RNSG 2539 EXAM 2 LATEST ACTUAL
EXAM 228 QUESTIONS AND CORRECT
DETAILED ANSWERS
What lab testing results are indicative of DIC? - (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 - (ANSWER)C) Positive fibrin split products
, 2
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 - (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 - (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
, 3
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) - (ANSWER)A) Disseminated
intravascular coagulation
What is the concept behind heparin for PT with DIC? - (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? - (ANSWER)-Directly related
to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? - (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? - (ANSWER)-Sepsis
, 4
A patient with DIC is at a higher risk for what? - (ANSWER)-Deficient fluid volume
Increased levels of ____________, _______________, __________, and
________________ will be noted in DIC: - (ANSWER)-Fibrinolycin, fibrinopeptide
A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: -
(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? -
(ANSWER)-Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - (ANSWER)-
Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
