The nurse taught the client how to self-administer eye drops. During the return demonstration, the client inadvertently touched the applicator to their cornea, which caused the client to blink and produce tears. Which term should the nurse describe the reflex elicited by the client?
A. Hyperactive.
B. A normal response.
C. A medication side effect.
D. Abnormal and should be reported to the healthcare provider.
Answer: B
You might also like to view...
Excessive stress levels have been associated with infectious diseases. Which of the following supports the rationale for this statement?
A) Stress impairs sleep patterns. B) Stress decreases the immune response. C) Stress increases weight. D) Stress decreases concentration.
During a focused assessment and interview regarding the client's head and neck, the client reveals the occurrence of severe headaches intermittently over a three-day period
The client denies any aura, but admits to severe and unilateral pain over the right side of the face along with nasal congestion. Which diagnosis does the nurse anticipate based on this assessment data? 1. Cluster headache. 2. Classic migraine. 3. Tension headache. 4. Hydrocephalus.
A 55-year-old woman has presented to the emergency department following a panic attack. Her blood pressure, respiratory rate, and heart rate are all highly elevated, while her temperature and oxygen saturation are within normal ranges
What is the woman's body most likely doing to address the changes in pH associated with her situation? A) Her kidneys will limit the amount of bicarbonate that they reabsorb. B) She will be retaining Cl- ions in an effort to lower pH. C) Her respiratory center will attempt to lower her CO2 levels. D) The patient's kidneys will excrete more hydrogen ions than they normally do.
Which of the following laboratory results would not be expected in the first 24 hours after a major burn injury? Select all that apply
1. Potassium level of 3.0 mEq/L 2. Hematocrit of 48% 3. Hemoglobin 19 g/dL 4. Sodium 148 mEq/L