RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUES
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A
READY GRADED A+
Study online at https://quizlet.com/_fwbz6m
1. What lab testing results are indicative of DIC? -Prothrombin
Time (PT)
-partial throbo-
plastin time (PTT)
-Activated Par-
tial Thrompoplas-
tin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels:
-Fibrogen
-Platelets
-Clotine factor II,
V, VIII, & X
and Antithrombin
III
2. The nurse is reviewing the laboratory test results of C) Positive fibrin
a child diagnosed with disseminated intravascular split products
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
3. The nurse is caring for a postpartum patient admitted A.) Heparin
to the intensive care unit with a diagnosis of dissem-
inated intravascular coagulation (DIC). What is the
drug of choice to treat this problem?
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin
, RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUES
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A
READY GRADED A+
Study online at https://quizlet.com/_fwbz6m
4. In the ICU, a postsurgical client has developed sep- D) Hemorrhage
sis and is being treated with multiple medications. from the surgi-
During the mid-morning assessment, which finding cal site requir-
leads the nurse to suspect the client may be develop- ing deep pressure
ing a complication called disseminated intravascular dressings
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
5. A healthy, primiparous (first-time) mother delivered A) Disseminated
a healthy infant several hours ago, but the mother intravascular co-
has experienced postpartum hemorrhage. Which of agulation
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)
6. What is the concept behind heparin for PT with DIC? -It prevents the
clotting phase
from being com-
pleted which in-
hibits the break-
down of fibrino-
gen.
- It also helps
avoid hemorrhage
by preventing the
body from deplet-
, RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUES
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A
READY GRADED A+
Study online at https://quizlet.com/_fwbz6m
ing entire stage
of coagulation fac-
tors.
7. What are some acute clinical manifestations of DIC? -Directly related to
bleeding problems
such as:
Petechia, Purpu-
ra, oozing from
puncture sites or
severe hemor-
rhaging.
8. How does DIC happen in postpartum hemorrhaging? -Tissue factors
released from
necrotic place/fe-
tal tissue or amni-
otic fluid my enter
the circulation, in-
citing DIC.
9. What is a common cause of DIC? -Sepsis
10. A patient with DIC is at a higher risk for what? -Deficient fluid vol-
ume
11. Increased levels of ____________, _______________, -Fibrinolycin, fib-
__________, and ________________ will be noted in rinopeptide A,
DIC: positive fibrin
split products and
D-dimers.
12. DIC can occur secondary to what type of conditions? -Abrupitoplacente
Select all that apply: -Amniotic fluid em-
bolism
-Endotoxin sepsis
-Retained dead fe-
tus
, RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUES
TIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A
READY GRADED A+
Study online at https://quizlet.com/_fwbz6m
-Post hemorrhage
shock
-Hydatidformmole
-Gynecologic Ma-
linganries
13. DIC can be decreased as a loss of balance between -Clot forming ac-
what two activities? tivity of thrombin
-Clot lysin activity
of plasmin
14. What are some ways to combat DIC? Select all that -Anticoagulation
apply: therapy
(low-molecular
weight heparin)
-Packed RBCs
-Platelet concen-
trate
-Antithrombin con-
centrate
-Nonclotting Pro-
tein- containing
volume will ex-
pand like: plasma
protein fraction or
albumin
15. How does Heparin work in the circulatory system? -Inhibits thrombus
and clot produc-
tion by block-
ing the conversion
of prothrombin to
thrombin & fibro-
gen to fibrin.
16. What are some adverse effects of Heparin? Select all -Loss of hair
that apply: -Bruising
-Chills
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