The nurse taught the client how to self-administer eye drops and the client was performing a return demonstration. During this time, the client inadvertently touched the applicator to their cornea, which caused the client to blink and produce tears
How will the nurse document this occurrence?
1. Abnormal and should be reported to the healthcare provider.
2. Hyperactive.
3. A medication side effect.
4. A normal response.
Correct Answer: 4
This is a normal response because the cornea is very sensitive. When the cornea is touched, the eyelids blink and tears are produced. The cornea contains many nerve endings and this action would produce a painful sensation for the client. This is not an abnormal response. This would not be noted as a hyperactive response. This is not due to a medication side effect.
You might also like to view...
Which of the following are reasons for the popularity of biologically based therapies, such as dietary supplements and herbal products? Select all that apply
a. They are almost all readily available to consumers. b. They can be practiced as self-care measures. c. It is easy to know what dosage is being obtained from a product. d. Products on the market have been proved to be safe to use.
A normal respiratory finding for a pregnant female patient would be
A) airway mucosal changes. B) tachypnea throughout pregnancy. C) tidal volume decreases. D) downward shift of the diaphragm.
An epidemiologist has written a summary of a food poisoning outbreak, including its cause and ways to prevent it from occurring in the future. Which of the following best describes what has been done?
a. Analytic epidemiology b. Descriptive epidemiology c. Prospective cohort study d. Retrospective cross-sectional survey
The nurse explains that soluble fibers such as pectin are used by the body for (select all that apply):
1. stool softeners. 2. absorption blockers. 3. bulk. 4. speeding transit time. 5. source of vitamin D.