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EDAPT: Altered Inflammation and
Immunity Questions and Answers Latest
Update
The nurse is caring for a client with diabetes mellitus type 1 who is 72
hours postoperative surgical removal of the descending colon and rectum
with the placement of a transverse colostomy. During the assessment, the
client has a temperature of 102.6 °F (39.2 °C) and increasing amounts of
purulent, serosanguineous drainage from the abdominal incision. The client
reports pain of 10/10 to the abdominal incision.
The client is at the highest risk of developing __________ and __________.
Ans: Wound dehiscence
Deep vein thrombosis
Adam (pronouns: he/him/his) is a 22-year-old student who loves to
skateboard and spend time outside. Recently, while skateboarding, Adam
fell and broke his wrist. After surgery to repair his wrist, Adam's incision
was sutured closed. This is an example of which process of healing? Ans:
Primary intention
Which statement best describes negative pressure wound therapy (NPWT)?
Ans: A vacuum source that promotes removal of fluid, exudate, and
infectious debris for healing and closure
Adam (pronouns: he/him/his) is a 22-year-old student who loves to
skateboard and spend time outside. Recently, while skateboarding, Adam
fell and broke his wrist. After surgery to repair his wrist, Adam's incision
was sutured closed. The nurse is assessing Adam's incision from his wrist
surgery. Observe the wound in the image shown here. Which descriptive
© 2025 All rights reserved
, 2 | Page
words would be appropriate to include in the nurse's assessment note?
Select all that apply. Ans: Inflamed
Purulent
Red
A guest at a wedding reception twisted their ankle and fell while dancing.
What should be done to provide first aid? Select all that apply. Ans: Wrap
the ankle with a compression bandage.
Elevate the ankle.
Ask the guest if they have pain anywhere else.
A guest at a wedding reception twisted their ankle and fell while dancing.
The guest's friend takes them to an urgent care center to be evaluated.
Which two items should the nurse evaluate first? Select that all apply. Ans:
Capillary refill
Distal pulses
Which clients are at high risk for developing dehiscence of a postoperative
abdominal incision? Select all that apply. Ans: A middle-aged adult with a
body mass index (BMI) of 38.2
An older adult with postoperative sepsis.
A young adult with diabetes mellitus type 1 (DM1).
Which client would benefit the most from a moist-to-dry dressing
(mechanical debridement)? Ans: An adolescent who has necrotic tissue
present in the wound bed.
Select the assessment findings that require immediate follow-up.
© 2025 All rights reserved
, 3 | Page
The nurse is caring for a client with diabetes mellitus type 1 who is 72 hours
postoperative surgical removal of the descending colon and rectum with the
placement of a transverse colostomy. During the assessment, the client has
a temperature of 102.6 °F (39.2 °C) and increasing amounts of purulent,
serosanguineous drainage from the abdominal incision. The client reports
pain of 10/10 to the abdominal incision. Ans: Temperature of 102.6 °F (39.2
°C)
Purulent, serosanguineous drainage
Pain of 10/10
The nurse is caring for a client with diabetes mellitus type 1 who is 72 hours
postoperative surgical removal of the descending colon and rectum with the
placement of a transverse colostomy. During the assessment, the client has
a temperature of 102.6 °F (39.2 °C) and increasing amounts of purulent,
serosanguineous drainage from the abdominal incision. The client reports
pain of 10/10 to the abdominal incision.
For each assessment finding, select if the finding indicates infection,
inflammation, or both. Ans: Infection:
• Redness around incision
• Skin around incision warm to touch
• Incisional pain 10/10
• Fever 102.6 °F (39.2 °C)
• Swelling around incision
Inflammation:
• Redness around incision
• Skin around incision warm to touch
© 2025 All rights reserved
EDAPT: Altered Inflammation and
Immunity Questions and Answers Latest
Update
The nurse is caring for a client with diabetes mellitus type 1 who is 72
hours postoperative surgical removal of the descending colon and rectum
with the placement of a transverse colostomy. During the assessment, the
client has a temperature of 102.6 °F (39.2 °C) and increasing amounts of
purulent, serosanguineous drainage from the abdominal incision. The client
reports pain of 10/10 to the abdominal incision.
The client is at the highest risk of developing __________ and __________.
Ans: Wound dehiscence
Deep vein thrombosis
Adam (pronouns: he/him/his) is a 22-year-old student who loves to
skateboard and spend time outside. Recently, while skateboarding, Adam
fell and broke his wrist. After surgery to repair his wrist, Adam's incision
was sutured closed. This is an example of which process of healing? Ans:
Primary intention
Which statement best describes negative pressure wound therapy (NPWT)?
Ans: A vacuum source that promotes removal of fluid, exudate, and
infectious debris for healing and closure
Adam (pronouns: he/him/his) is a 22-year-old student who loves to
skateboard and spend time outside. Recently, while skateboarding, Adam
fell and broke his wrist. After surgery to repair his wrist, Adam's incision
was sutured closed. The nurse is assessing Adam's incision from his wrist
surgery. Observe the wound in the image shown here. Which descriptive
© 2025 All rights reserved
, 2 | Page
words would be appropriate to include in the nurse's assessment note?
Select all that apply. Ans: Inflamed
Purulent
Red
A guest at a wedding reception twisted their ankle and fell while dancing.
What should be done to provide first aid? Select all that apply. Ans: Wrap
the ankle with a compression bandage.
Elevate the ankle.
Ask the guest if they have pain anywhere else.
A guest at a wedding reception twisted their ankle and fell while dancing.
The guest's friend takes them to an urgent care center to be evaluated.
Which two items should the nurse evaluate first? Select that all apply. Ans:
Capillary refill
Distal pulses
Which clients are at high risk for developing dehiscence of a postoperative
abdominal incision? Select all that apply. Ans: A middle-aged adult with a
body mass index (BMI) of 38.2
An older adult with postoperative sepsis.
A young adult with diabetes mellitus type 1 (DM1).
Which client would benefit the most from a moist-to-dry dressing
(mechanical debridement)? Ans: An adolescent who has necrotic tissue
present in the wound bed.
Select the assessment findings that require immediate follow-up.
© 2025 All rights reserved
, 3 | Page
The nurse is caring for a client with diabetes mellitus type 1 who is 72 hours
postoperative surgical removal of the descending colon and rectum with the
placement of a transverse colostomy. During the assessment, the client has
a temperature of 102.6 °F (39.2 °C) and increasing amounts of purulent,
serosanguineous drainage from the abdominal incision. The client reports
pain of 10/10 to the abdominal incision. Ans: Temperature of 102.6 °F (39.2
°C)
Purulent, serosanguineous drainage
Pain of 10/10
The nurse is caring for a client with diabetes mellitus type 1 who is 72 hours
postoperative surgical removal of the descending colon and rectum with the
placement of a transverse colostomy. During the assessment, the client has
a temperature of 102.6 °F (39.2 °C) and increasing amounts of purulent,
serosanguineous drainage from the abdominal incision. The client reports
pain of 10/10 to the abdominal incision.
For each assessment finding, select if the finding indicates infection,
inflammation, or both. Ans: Infection:
• Redness around incision
• Skin around incision warm to touch
• Incisional pain 10/10
• Fever 102.6 °F (39.2 °C)
• Swelling around incision
Inflammation:
• Redness around incision
• Skin around incision warm to touch
© 2025 All rights reserved
