Answer to Question 1
1
Rationale 1:Oxymetazoline (OcuClear) is a lubricant that causes vasoconstriction.
Rationale 2:Betaxolol (Betaoptic) is a beta-adrenergic blocker used to decrease the formation of aqueous humor.
Rationale 3: Polyvinyl alcohol (Liquifilm) does not cause vasoconstriction.
Rationale 4: Lanolin alcohol (Lacri-lube) does not cause vasoconstriction.
Global Rationale: Oxymetazoline (OcuClear) is a lubricant that causes vasoconstriction.
Answer to Question 2
2
Rationale 1:Pain, related to chemical agents is incorrect because pain is not a routine occurrence.
Rationale 2: Mydriatics cause temporary vision impairments, including blurred vision. Following such examinations, clients should be careful with driving or operating machinery while their vision is affected.
Rationale 3:Self-care deficit, related to impaired vision is incorrect because the client's vision will return to normal within several hours, and they will be able to resume all care activities.
Rationale 4:Deficient knowledge, related to disease process is incorrect because it would be premature to assume that there is a disease process present.
Global Rationale: Mydriatics cause temporary vision impairments, including blurred vision. Following such examinations, clients should be careful with driving or operating machinery while their vision is affected.
A nurse adjusts the rate of a client’s IV.
Nurse opens sterile package
Instilling Ear Medication
Sample client goals from the Wellness Massage Pyramid.
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Instillation of Ear Medication