#1
Which coagulation disorder is characterized by a deficiency in clotting factor VIII?
Hemophilia A
ExplanationDeficiency in clotting factor VIII leads to impaired coagulation, characteristic of Hemophilia A.
#2
What is the primary goal of nursing care for a patient with a coagulation disorder?
To prevent injury and bleeding
ExplanationThe primary nursing goal is to prevent injury and bleeding in patients with coagulation disorders to minimize complications.
#3
Which type of hemophilia is caused by a deficiency in clotting factor IX?
Hemophilia B
ExplanationHemophilia B results from a deficiency in clotting factor IX, leading to impaired coagulation.
#4
Which laboratory test is commonly used to monitor the therapeutic effect of warfarin?
International Normalized Ratio (INR)
ExplanationINR is utilized to monitor the therapeutic effect of warfarin, ensuring appropriate anticoagulation levels.
#5
Which of the following symptoms is characteristic of hemophilia?
Joint pain and swelling
ExplanationJoint pain and swelling are characteristic symptoms of hemophilia due to recurrent bleeding into joints.
#6
Which medication is commonly used in the management of hemophilia to replace deficient clotting factors?
Factor VIII concentrate
ExplanationFactor VIII concentrate is administered to replenish deficient clotting factors in hemophilia management.
#7
Which nursing intervention is crucial for a patient with hemophilia experiencing a bleed?
Administering factor replacement therapy
ExplanationAdministering factor replacement therapy is crucial to address bleeding episodes in hemophilia patients.
#8
Which laboratory test is commonly used to monitor heparin therapy?
Activated Partial Thromboplastin Time (aPTT)
ExplanationaPTT is utilized to monitor heparin therapy due to its sensitivity in assessing clotting activity.
#9
Which symptom is commonly associated with thrombocytopenia?
Easy bruising and bleeding
ExplanationThrombocytopenia often presents with easy bruising and bleeding due to low platelet count.
#10
Which of the following nursing actions is appropriate for a patient receiving anticoagulant therapy?
Avoiding IM injections
ExplanationAvoiding IM injections reduces the risk of bleeding in patients receiving anticoagulant therapy due to increased bleeding susceptibility.
#11
Which factor is primarily deficient in Von Willebrand Disease?
Von Willebrand Factor
ExplanationVon Willebrand Disease results from a deficiency in Von Willebrand Factor, essential for platelet function and clotting.
#12
Which of the following is a potential complication of untreated hemophilia?
Intracranial hemorrhage
ExplanationUntreated hemophilia may result in intracranial hemorrhage due to spontaneous bleeding, posing a severe complication.
#13
Which of the following conditions is characterized by abnormal bleeding and clotting simultaneously?
Disseminated Intravascular Coagulation
ExplanationDIC manifests as abnormal bleeding and clotting concurrently, indicative of its complex pathophysiology.
#14
What is the primary cause of Disseminated Intravascular Coagulation (DIC)?
Excessive clotting in small blood vessels
ExplanationDIC is primarily caused by widespread activation of coagulation pathways, leading to excessive clotting within small blood vessels.
#15
What is the primary intervention for a patient experiencing a severe bleed due to Von Willebrand Disease?
Administer factor replacement therapy
ExplanationAdministering factor replacement therapy is vital to manage severe bleeds in Von Willebrand Disease, addressing the underlying deficiency.
#16
What is the primary nursing intervention for a patient with disseminated intravascular coagulation (DIC)?
Treating the underlying cause
ExplanationAddressing the underlying cause of DIC is the primary nursing intervention to halt the pathological coagulation process.
#17
Which medication is commonly used to reverse the anticoagulant effect of heparin?
Protamine sulfate
ExplanationProtamine sulfate is commonly used to reverse the anticoagulant effect of heparin by binding to and neutralizing its activity.