When admitting a patient to the hospital, the nurse asks if has ...

[jwb375]

When admitting a patient to the hospital, the nurse asks if has problems eating since the patient had a stroke. The patient denies any problems and states that does not require assistance.
 
  After lunch, the nurse notes that the patient has not eaten most of the food and has spilled much of the food. These cues lead the nurse to believe that the patient is not functioning at the level indicated upon admission. The nurse is using which type of information to make this deduction? a. Verbal behavior
  b. Physical assessment
  c. Nursing diagnosis
  d. Nonverbal behavior

Question 2

A surgical wound requires a hydrogel dressing. What is the primary advantage of a hydrogel dressing?
 
  a. It provides an absorbent to collect wound drainage.
  b. It provides a negative pressure to promote healing.
  c. It provides protection from the external environment.
  d. It provides moisture needed for wound healing.

[akpaschal]

Answer to Question 1

D
Observation of the level of function is different from what a nurse learns about function during the interview. A nurse observes what the patient does, such as self-feeding or making a decision, rather than what the patient says he or she can do. The level of function involves a person's ability to perform during everyday activities. Observation of the patient's behavior for level of function differs from a physical assessment. The hands-on physical examination measures the extent of function through measures such as range of motion and muscle strength. Verbal behavior is what the patient says. A nursing diagnosis would be self-care deficit.

Answer to Question 2

D
Hydrogels maintain moisture in some wounds for 1 to 3 days. Hydrogel dressings are available in sheets or in a gel in a tube (amorphous). They contain a high percentage of water and are indicated for wounds that require moisture, either a wound with granulation (maintaining the moist wound environment needed for healing) or a wound that has a high percentage of necrotic tissue (the hydrogel facilitates debridement by softening the dead tissue). Negative pressure wound therapy (NPWT) uses negative pressure to assist wound healing. Negative pressure wound therapy supports wound healing by evacuating wound fluids, stimulating granulation tissue formation, reducing the bacterial burden of a wound, and maintaining a moist wound environment. Gauze dressings are best for wounds with moderate drainage, deep wounds, undermining, and tunnels. You apply gauze either moist or dry. The moistened gauze increases the absorptive ability of the dressing to collect exudate. A transparent or hydrocolloid dressing protects against the external environment.