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RNSG 2539 EXAM 2 LATEST ACTUAL EXAM TEST 2025 WITH LATEST UPDATED (QUESTIONS AND ANSWERS) /Already Graded A+

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RNSG 2539 EXAM 2 LATEST ACTUAL EXAM TEST 2025 WITH LATEST UPDATED (QUESTIONS AND ANSWERS) /Already Graded A+

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RNSG 2539
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RNSG 2539

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RNSG 2539 EXAM 2 LATEST ACTUAL EXAM TEST 2025
WITH LATEST UPDATED (QUESTIONS AND
ANSWERS) /Already Graded A+

What lab testing results are indicative of DIC?



Ans: -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



Qiz 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



Ans: C) Positive fibrin split products



Qiz 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



Ans: A.) Heparin



Qiz 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

,Ans: D) Hemorrhage from the surgical site requiring deep pressure dressings



Qiz A healthy, primiparous (first-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)



Ans: A) Disseminated intravascular coagulation



Qiz What is the concept behind heparin for PT with DIC?



Ans: -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.



Qiz What are some acute clinical manifestations of DIC?



Ans: -Directly related to bleeding problems such as:

Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.



Qiz How does DIC happen in postpartum hemorrhaging?

, Ans: -Tissue factors released from necrotic place/fetal tissue or amniotic fluid my enter the
circulation, inciting DIC.



Qiz What is a common cause of DIC?



Ans: -Sepsis



Qiz A patient with DIC is at a higher risk for what?



Ans: -Deficient fluid volume



Qiz Increased levels of ____________, _______________, __________, and
________________ will be noted in DIC:



Ans: -Fibrinolycin, fibrinopeptide A, positive fibrin split products and D-dimers.



Qiz DIC can occur secondary to what type of conditions? Select all that apply:



Ans: -Abrupitoplacente

-Amniotic fluid embolism

-Endotoxin sepsis

-Retained dead fetus

-Post hemorrhage shock

-Hydatidformmole

-Gynecologic Malinganries

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