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.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
A, A nurse is adding a medication to an IV line as a piggyback
Instilling Eye Medication
Example of simplified note for one-time client.
Testing the client’s ability to feel vibrations, the toe
The client is positioned for the examination