Oncology Certified Nurse (OCN) Nursing Practice Test

The correct approach in managing Disseminated Intravascular Coagulation (DIC) is treating the underlying cause. DIC is a complex disorder characterized by widespread activation of the coagulation cascade, leading to the formation of blood clots throughout the small vessels, which can subsequently cause organ dysfunction. DIC often occurs as a secondary complication of various conditions such as sepsis, severe trauma, or certain malignancies. By addressing the root cause of DIC, such as controlling an infection, managing cancer, or treating trauma, healthcare providers can significantly impact the patient’s coagulation status and overall prognosis. This can stabilize the patient's condition and reduce the progression of DIC, allowing for more targeted treatment strategies to restore hemostatic balance. While administering high-dose anticoagulants and immediate blood transfusions may seem beneficial in certain acute situations, these measures do not address the reason for DIC initiation and may even pose risks. The use of broad-spectrum antibiotics is critical when an infectious source is suspected, but without resolving the underlying issue, the DIC may persist or worsen. Thus, the comprehensive approach that focuses on managing the primary pathology is paramount in effectively treating DIC.