10/23/24, 8:14 AM RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIF…
RNSG 2539 FINAL EXAM LATEST 2023-2024
ACTUAL EXAM 220 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Terms in this set (228)
-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
What lab testing results -Thrombin Time
are indicative of DIC?
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
,10/23/24, 8:14 AM RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIF…
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?
,10/23/24, 8:14 AM RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIF…
In the ICU, a postsurgical D) Hemorrhage from the surgical site requiring deep
client has developed pressure dressings
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
, 10/23/24, 8:14 AM RNSG 2539 FINAL EXAM LATEST 2023-2024 ACTUAL EXAM 220 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIF…
A healthy, primiparous A) Disseminated intravascular coagulation
(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)
-It prevents the clotting phase from being completed
What is the concept which inhibits the breakdown of fibrinogen.
behind heparin for PT with - It also helps avoid hemorrhage by preventing the
DIC? body from depleting entire stage of coagulation
factors.
What are some acute -Directly related to bleeding problems such as:
clinical manifestations of Petechia, Purpura, oozing from puncture sites or
DIC? severe hemorrhaging.
How does DIC happen in -Tissue factors released from necrotic place/fetal
postpartum tissue or amniotic fluid my enter the circulation,
hemorrhaging? inciting DIC.
What is a common cause -Sepsis
of DIC?
A patient with DIC is at a -Deficient fluid volume
higher risk for what?
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