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. The nurse may document this response as which of the following? 1. Abnormal and should be reported to the healthcare provider
2. Hyperactive
3. A medication side effect
4. A normal response


4
Rationale 1: 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.
Rationale 2: This would not be noted as a hyperactive response.
Rationale 3: This is not due to a medication side effect.
Rationale 4: This is a normal response because the cornea is very sensitive.

Nursing

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A statistical analysis of City Health Clinic's patient base shows that few of its patients are elderly Asian Americans. Nurse K, a second-generation Asian American, offers a probable cause for this phenomenon

She knows that Asian American groups, though different from each other: A) Value a strong family network and expect that family members will care for their elders at home B) Subscribe to traditional health practices and reject modern technology C) Do not express their feelings openly or challenge the health professional D) Have preserved many of their homeland traditions and tend to live in isolated pockets

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Nurses can combat the nursing shortage by:

a. joining unions, which influence employers to provide incentives such as pay raises and free child care, thus encouraging the large percentage of nonworking nurses to return to the workforce. b. demanding that the requirements of the qualifying examination for foreign nurses should be reduced, so they are eligible to sit for the licensure examination. c. working more hours with a higher nurse/patient ratio. d. advocating for funds to pay for nursing education and a safer work environment.

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The largest health problem in the United States today is:

A) Cancer. B) Cardiovascular disease. C) Human immunodeficiency virus (HIV). D) Arthritis.

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The nurse is preparing to perform a rapid assessment. Which should the nurse understand is the primary technique that will be used during the assessment?

A. Auscultation. B. Inspection. C. Palpation. D. Observation.

Nursing