ANP-654 FINAL REVIEW EXAM QUESTIONS AND
COMPLETE ANSWERS
DIC treatment - ANSWER Anticoagulant therapy
Replacement therapy: Transfusion of platelets, FFP, or concentrations of coagulation
factors
Complete removal of the underlying injury
Priorities are circulation and oxygenation
Most effective nursing intervention is anticipation of DIC in any patient with infection,
trauma, cancer, or obstetric emergency!!
D-dimer range - ANSWER 0-250ng/ml
Should be <250ng/ml
What is D-Dimer? - ANSWER Fibrin degradation product that is elevated in the presence
of a thrombus.
Elevation can indicated possible DVT or PE but may also be elevated in patients s/p
surgery and most hospitalized patients therefore it cannot be used to confirm DVT or PE
if positive.
If negative, can rule out DVT/PE
Hallmark of severe thrombcytopenia - ANSWER mucocutaneous bleeding
petechiae
primary hemostasis - ANSWER platelet plug formation
secondary hemostasis - ANSWER coagulation cascade and fibrin formation (stable clot
formation)
COMPLETE ANSWERS
DIC treatment - ANSWER Anticoagulant therapy
Replacement therapy: Transfusion of platelets, FFP, or concentrations of coagulation
factors
Complete removal of the underlying injury
Priorities are circulation and oxygenation
Most effective nursing intervention is anticipation of DIC in any patient with infection,
trauma, cancer, or obstetric emergency!!
D-dimer range - ANSWER 0-250ng/ml
Should be <250ng/ml
What is D-Dimer? - ANSWER Fibrin degradation product that is elevated in the presence
of a thrombus.
Elevation can indicated possible DVT or PE but may also be elevated in patients s/p
surgery and most hospitalized patients therefore it cannot be used to confirm DVT or PE
if positive.
If negative, can rule out DVT/PE
Hallmark of severe thrombcytopenia - ANSWER mucocutaneous bleeding
petechiae
primary hemostasis - ANSWER platelet plug formation
secondary hemostasis - ANSWER coagulation cascade and fibrin formation (stable clot
formation)
