Question

Which term describes a splitting open of the wound for a postoperative patient?

Answer 1

Correct Answers:

Dehiscence

Rationale :

🩹Dehiscence refers to the partial or total separation of wound layers, often occurring after surgical procedures.

🚨This complication is commonly associated with poor wound healing, increased intra-abdominal pressure, or infection.

📏It is distinct from evisceration, which involves protrusion of organs, making dehiscence a precursor or warning sign.

🧠Recognizing dehiscence early is essential in postoperative care to prevent worsening complications like infection or organ exposure.

📌Core message

Dehiscence is the splitting of a surgical wound and requires immediate nursing intervention.

Answer 2

Correct Answers:

Type of glaucoma present

Rationale :

👁️Gonioscopy is an ophthalmologic procedure that allows direct visualization of the anterior chamber angle of the eye.

🔍This test is critical in differentiating between open-angle and angle-closure glaucoma, which guides proper treatment.

🧠By assessing the drainage angle, it helps determine whether intraocular pressure is due to structural blockage.

📋This diagnostic tool is essential for managing glaucoma, a leading cause of preventable blindness.

📌Core message

Gonioscopy determines the type of glaucoma by examining the anterior chamber angle.

Answer 3

Correct Answers:

Situation, background, assessment, recommendation (SBAR)

Rationale :

📞SBAR is a structured communication tool used in healthcare to standardize information exchange between team members.

🗂️It improves patient safety by ensuring concise and organized communication during handoffs or urgent updates.

🧠Each component—Situation, Background, Assessment, Recommendation—supports effective clinical decision-making.

📋SBAR is endorsed by patient safety organizations and is used in both emergencies and routine interactions.

📌Core message

SBAR is a structured method that improves inter-professional communication and safety.

Answer 4

Correct Answers:

Ischemia

Rationale :

🧠Ischemia is a condition where tissue damage occurs due to inadequate oxygen supply, often from disrupted blood flow.

🩺In spinal cord trauma, ischemia develops secondary to the initial injury and leads to progressive neurologic deficits.

💉It contributes to cellular death and worsens functional outcomes if not promptly identified and managed.

📏Distinguishing ischemia from other causes like hemorrhage or edema helps guide treatment strategies such as perfusion support.

📌Core message

Ischemia is a secondary spinal cord injury resulting from inadequate blood flow.

Answer 5

Correct Answers:

The RRT is also called the medical emergency team (MET).

Rationale :

🚑The Rapid Response Team (RRT), also known as the Medical Emergency Team (MET), is designed to intervene early in deteriorating patients.

📉This initiative aims to reduce cardiac arrests and unplanned ICU admissions through rapid evaluation and intervention.

📋RRTs may include ICU nurses, respiratory therapists, and physicians trained in critical care response.

🧠This program aligns with IHI’s goal to improve patient safety and reduce preventable hospital deaths.

📌Core message

The RRT (or MET) is an early intervention team endorsed by IHI to improve patient safety.

Answer 6

Correct Answers:

The judge

Rationale :

⚖️A judge is the only individual with the legal authority to appoint a guardian or surrogate decision-maker for incapacitated adults.

📋In the absence of family or an advance directive, legal proceedings are initiated to ensure informed consent and protection of patient rights.

🧠This process safeguards vulnerable individuals undergoing invasive procedures like surgery.

🔒Healthcare providers cannot assume consent or appoint guardians, as this would be a violation of legal and ethical standards.

📌Core message

A judge must appoint a legal guardian for clients without capacity or family to give informed consent.

Answer 7

Correct Answers:

"l should eat more eggs and cereals for potassium."

Rationale :

🍳Eggs and cereals are not significant sources of potassium, unlike fruits such as bananas and oranges.

📚Patients on high-ceiling diuretics like furosemide lose potassium, requiring dietary intake from rich sources.

🧠Misunderstanding food sources of potassium can lead to hypokalemia, which increases risk of cardiac arrhythmias.

📋The nurse must reinforce correct education on potassium-rich foods, including leafy greens, potatoes, and dried fruits.

📌Core message

Clients on diuretics need teaching to eat true potassium-rich foods, not low-potassium options like eggs/cereals.

Answer 8

Correct Answers:

Immunoglobin E (lgE)

Rationale :

🧪IgE is the antibody responsible for allergic reactions, including life-threatening anaphylaxis.

🚨It binds to allergens and triggers mast cells and basophils, releasing histamine and inflammatory mediators.

🧠Elevated IgE levels indicate hypersensitivity disorders, such as asthma, eczema, or food allergies.

📊Testing for IgE can help diagnose allergies and guide treatment, including epinephrine use and allergen avoidance.

📌Core message

IgE is the elevated antibody during and after anaphylactic reactions.

Answer 9

Correct Answers:

Intensivist

Rationale :

🏥An intensivist is a physician with specialized training in critical care medicine who manages patients in the ICU.

🧠They handle complex cases requiring mechanical ventilation, hemodynamic support, and continuous monitoring.

📋They lead the interdisciplinary ICU team to ensure coordinated and evidence-based care.

🧪Unlike a hospitalist who manages general inpatients, an intensivist focuses on critically ill clients requiring life-saving interventions.

📌Core message

An intensivist is the critical care specialist who manages patients in the ICU.

Answer 10

Correct Answers:

Melanin

Rationale :

🌞Melanin is the skin pigment produced by melanocytes that provides natural protection against UV radiation.

🛡️It absorbs harmful UV rays, thereby reducing the risk of DNA damage and subsequent skin cancers or sunburns.

🧠Clients with low melanin levels (such as those with fair skin or albinism) are more vulnerable to sun damage and need additional precautions.

📋The nurse should promote sun safety education, including use of sunscreen and protective clothing for individuals with melanin deficiency.

📌Core message

Melanin protects skin from UV radiation, and its deficiency raises the risk of sunburn and skin cancer.

ADN Nur 202 Concepts in Adult Health Care

No.

1 :
Which term describes a splitting open of the wound for a postoperative patient?

2 :
Which information would a gonioscopy test reveal?

3 :
Which method of communication between two or more members of a health care team is a formal means of communication?

4 :
Which secondary spinal cord injury typically results from reduced or absent blood flow?

5 :
When explaining the Rapid Response Team (RRT) as one successful initiative of the Institute for Healthcare Improvement (IHI), the nurse would include which additional information?

6 :
Which individual can appoint a legal guardian for a patient who is scheduled for abdominal surgery, is unable to give consent, and has no family?

7 :
Which patient response to the nurse who is teaching nutrition therapy to a patient prescribed high-ceiling diuretic therapy indicates a need for further teaching?

8 :
Which antibody level would the nurse expect to be elevated in a patient after an anaphylactic reaction?

9 :
Which member of the health care team would the nurse recognize as a health care provider who specializes in critical care?

10 :
Which deficiency will the nurse be concerned with, as it relates to protection of the skin from ultraviolet (UV) light, that could increase the risk for sunburn?

ADN Nur 202 Concepts in Adult Health Care

No.

1 : Which term describes a splitting open of the wound for a postoperative patient?

2 : Which information would a gonioscopy test reveal?

3 : Which method of communication between two or more members of a health care team is a formal means of communication?

4 : Which secondary spinal cord injury typically results from reduced or absent blood flow?

5 : When explaining the Rapid Response Team (RRT) as one successful initiative of the Institute for Healthcare Improvement (IHI), the nurse would include which additional information?

6 : Which individual can appoint a legal guardian for a patient who is scheduled for abdominal surgery, is unable to give consent, and has no family?

7 : Which patient response to the nurse who is teaching nutrition therapy to a patient prescribed high-ceiling diuretic therapy indicates a need for further teaching?

8 : Which antibody level would the nurse expect to be elevated in a patient after an anaphylactic reaction?

9 : Which member of the health care team would the nurse recognize as a health care provider who specializes in critical care?

10 : Which deficiency will the nurse be concerned with, as it relates to protection of the skin from ultraviolet (UV) light, that could increase the risk for sunburn?

1 :
Which term describes a splitting open of the wound for a postoperative patient?

2 :
Which information would a gonioscopy test reveal?

3 :
Which method of communication between two or more members of a health care team is a formal means of communication?

4 :
Which secondary spinal cord injury typically results from reduced or absent blood flow?

5 :
When explaining the Rapid Response Team (RRT) as one successful initiative of the Institute for Healthcare Improvement (IHI), the nurse would include which additional information?

6 :
Which individual can appoint a legal guardian for a patient who is scheduled for abdominal surgery, is unable to give consent, and has no family?

7 :
Which patient response to the nurse who is teaching nutrition therapy to a patient prescribed high-ceiling diuretic therapy indicates a need for further teaching?

8 :
Which antibody level would the nurse expect to be elevated in a patient after an anaphylactic reaction?

9 :
Which member of the health care team would the nurse recognize as a health care provider who specializes in critical care?

10 :
Which deficiency will the nurse be concerned with, as it relates to protection of the skin from ultraviolet (UV) light, that could increase the risk for sunburn?